Individual
MRS. DENAE ELLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, WHNP-BC, CNM
Contact information
Practice address
3625 W 65TH ST STE 100, EDINA, MN 55435-2147
(952) 920-7001
Mailing address
1109 RHODE ISLAND AVE N, GOLDEN VALLEY, MN 55427-4524
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
7526
MN
367A00000X
Advanced Practice Midwife
Primary
434
MN
Other
Enumeration date
07/05/2020
Last updated
08/17/2021
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