Individual
ANNA VENN CARLSON ELLASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP
Contact information
Practice address
675 E NICOLLET BLVD STE 250, BURNSVILLE, MN 55337
(952) 993-3307
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176645-30
WI
163W00000X
Registered Nurse
R 172338-6
MN
363L00000X
Nurse Practitioner
Primary
2960
MN
363LP0200X
Pediatric Nurse Practitioner
4385-33
WI
363LP0200X
Pediatric Nurse Practitioner
R 172338-6
MN
Other
Enumeration date
05/25/2011
Last updated
11/01/2022
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