Individual
BARBARA B ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
4730 CHICAGO AVE, MS 26602G, MINNEAPOLIS, MN 55407-3570
(952) 883-6805
(952) 853-8864
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5812
MN
363LG0600X
Gerontology Nurse Practitioner
7896-33
WI
Other
Enumeration date
07/20/2017
Last updated
12/08/2021
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