Individual
ELLEN BRATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, RD, CNSC
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-6800
Mailing address
920 E 28TH ST STE 300, MINNEAPOLIS, MN 55407-1195
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3580
MN
363A00000X
Physician Assistant
Primary
13907
MN
Other
Enumeration date
09/09/2015
Last updated
05/18/2022
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