Individual
BETSY S ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413-2197
(128) 711-1456
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
040060
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357842900
—
MN
Enumeration date
03/27/2007
Last updated
03/10/2021
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