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Individual

MRS. DENAE ELLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, WHNP-BC, CNM

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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