Individual
SADIE MAE ELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CNOR, RNFA
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1498
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1498
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
CEO11471
CO
Other
Enumeration date
11/15/2021
Last updated
11/11/2024
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