Individual
DEBORAH LYNN ELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
6401 UNIVERSITY AVE NE, #200, FRIDLEY, MN 55432-4341
(763) 586-5883
(763) 571-3088
Mailing address
6401 UNIVERSITY AVE NE, #200, FRIDLEY, MN 55432-4341
(763) 586-5883
(763) 571-3088
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R 078463-0
MN
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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