person
Ms. Ellen B Ellickson, CNP
Gerontology Nurse Practitioner in Saint Cloud, Minnesota
NPI 1578747085

Ellen B Ellickson is a Gerontology Nurse Practitioner based in Saint Cloud, MN and is specialized in Gerontology. Ellen B Ellickson practices in Saint Cloud, MN and has the professional credentials of CNP. The NPI Number for Ellen B Ellickson is 1578747085 and holds a License No. R 059057-8 (Minnesota).

The current practice location address for Ellen B Ellickson is 1245 15Th St N, Saint Cloud, MN and can be reached out via phone at 320-203-2087.

Location: 1245 15Th St N, Saint Cloud, MN, 56303-1802
person
Provider Profile Details
NPI Number
1578747085
Provider Name
Ellen B Ellickson
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
1245 15Th St N, Saint Cloud, MN, 56303-1802
Phone Number
320-203-2087
Fax Number
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1245 15Th St N
City
State
Zip
56303-1802
Phone Number
320-203-2087
Fax Number
person
Provider Business Mailing Address Details
Address
1245 15Th St N
City
State
Zip
56303-1802
Phone Number
320-203-2087
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R 059057-8 (Minnesota)
Definition
Definition to come...
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