Individual
JUDY M ELAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3532
(612) 467-3532
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3532
(612) 467-2232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1296664
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108053
MEDICA
MN
01
—
142252
UCARE MN
MN
01
—
17949676
AMERICA'S PPO
MN
01
—
278S2MC
BLUE CROSS BLUE SHIELD
MN
05
—
43957000
—
WI
05
—
517451100
—
MN
01
—
HP34669
HEALTHPARTNERS
MN
Enumeration date
05/17/2006
Last updated
02/18/2026
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