Individual
CHRISTINE MARIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3400 W 66TH ST STE 385, EDINA, MN 55435-2197
(952) 927-6561
Mailing address
8312 ZANZIBAR CT N, MAPLE GROVE, MN 55311-1809
(763) 234-5023
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
7522
MN
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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