NPI 1114780228

Alice J Ellison, FNPC

Practitioner Public Health & General Preventive Medicine Physician Minnetonka, MN

Practice location

Address: 9900 Bren Rd E, Minnetonka, MN 55343-9664
Phone: (800) 328-5979

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 2023045679 (MO)

Other Preventive Medicine providers in Minnesota →

Registry record

NPI: 1114780228
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2024
Record last updated: 5 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.