Individual
PRISCILLA L ELLINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58122-0001
(701) 234-4036
(701) 234-4003
Mailing address
700 1ST AVE S, FARGO, ND 58122-0001
(701) 234-4036
(701) 234-4003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R32307
ND
363LP0200X
Pediatric Nurse Practitioner
RN.242052-COA1
OH
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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