Individual
EMILY ELLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
153624
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
3197
MN
Other
Enumeration date
06/04/2025
Last updated
07/08/2025
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