Individual
MARY ANN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP
Contact information
Practice address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Mailing address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5943
MN
363LF0000X
Family Nurse Practitioner
5943
MN
Other
Enumeration date
07/02/2018
Last updated
11/22/2024
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