Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICE J ELLISON, FNP-C
ActivePublic Health & General Preventive Medicine · MINNETONKA, MN
Registration Details
- NPI Number
- 1114780228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2024 (2.2163508328256 yrs)
- Last Updated
- Feb 5, 2024
- License
-
2023045679 (MO)
Practice Information
- Address
-
9900 BREN RD EMINNETONKA, MN, 553439664Browse MN providers · Browse ZIP 55343
- Phone
- 8003285979
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.