Individual
NINA S ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1008 LAKE MURRAY BLVD, IRMO, SC 29063-2821
(612) 225-1512
(612) 234-4625
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
(612) 234-4625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5004353
NC
363LF0000X
Family Nurse Practitioner
Primary
APRN1563
SC
Other
Enumeration date
10/02/2006
Last updated
06/11/2009
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