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Individual

MRS. MEGAN MARIE ELLINGSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R180131-8
MN
363LF0000X
Family Nurse Practitioner
Primary
R180131-8
MN

Other

Enumeration date
05/23/2012
Last updated
07/12/2021
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