person
Harley Lyell Ellis, RN,CNP
Family Nurse Practitioner in Brainerd, Minnesota
NPI 1568536142

Harley Lyell Ellis is a Family Nurse Practitioner based in Brainerd, MN and is specialized in Family. Harley Lyell Ellis practices in Brainerd, MN and has the professional credentials of RN,CNP. The NPI Number for Harley Lyell Ellis is 1568536142 and holds a License No. R 092367-9 (Minnesota).

The current practice location address for Harley Lyell Ellis is 11855 State Ave, Brainerd, MN and can be reached out via phone at 218-828-2389 and via fax at 218-828-6165.

Location: 11855 State Ave, Brainerd, MN, 56401-4127
person
Provider Profile Details
NPI Number
1568536142
Provider Name
Harley Lyell Ellis
Credential
RN,CNP
Provider Entity Type
Individual
Gender
Male
Address
11855 State Ave, Brainerd, MN, 56401-4127
Phone Number
218-828-2389
Fax Number
218-828-6165
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11855 State Ave
City
State
Zip
56401-4127
Phone Number
218-828-2389
Fax Number
218-828-6165
person
Provider Business Mailing Address Details
Address
11855 State Ave
City
State
Zip
56401-4127
Phone Number
218-828-2389
Fax Number
218-828-6165
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R 092367-9 (Minnesota)
Definition
Definition to come...
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