Individual
MS. ELLEN LOUISE ZAESKE
Active
Individual
MS. ELLEN LOUISE ZAESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6985
MN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
R 124683-4
MN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R20158
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536527900
—
MN
Enumeration date
11/16/2006
Last updated
08/08/2019
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