Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTIE ROSE ELLENSON, APRN, CNP
Active Sole ProprietorMATTIE ROSE ELLENSON, APRN, CNP is a Women's Health Nurse Practitioner healthcare provider located in STAPLES, Minnesota. NPI 1316579337 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · STAPLES, MN
Registration Details
- NPI Number
- 1316579337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2020 (6.4940255061592 yrs)
- Last Updated
- Sep 23, 2025
- License
-
12090 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49725 COUNTY 83STAPLES, MN, 564795280Browse MN providers · Browse ZIP 56479
- Phone
- 2188941515
- Fax
- 2188987518
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
Other Women's Health Nurse Practitioner Providers in STAPLES, MN
| Name | Credential | NPI |
|---|---|---|
| KELLY VANVICKLE | — | 1013332105 |
| LEANN PETTOW | APRN | 1801583190 |
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.