Harley Lyell Ellis, RN, CNP

NPI #1568536142 in Brainerd, Minnesota

Provider Information

NPI Number
1568536142
Entity Type
Individual
Name
Harley Lyell Ellis, RN, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
RN, CNP
Enumeration Date
Nov 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
11855 STATE AVE
Address 2
C.O.R.E. BRAINERD
ZIP Code
56401-4127
Phone
(218) 828-2389

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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