Ms Ellen Louise Zaeske, APRN, LICSW is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Fargo, North Dakota. Ms Ellen Louise Zaeske is licensed to practice in North Dakota (license number R20158) and her current practice location is
1112 Nodak Dr S, Fargo, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 232-6224.
NPI number for Ms Ellen Louise Zaeske is 1346313616 and her current mailing address is 1112 Nodak Dr S, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346313616.
Healthcare Provider's Profile
| Full Name | Ms Ellen Louise Zaeske |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
|---|
| Location | 1112 Nodak Dr S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346313616
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 08/08/2019
Medical Identifiers
Medical identifiers for Ms Ellen Louise Zaeske such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346313616 | NPI | - | NPPES |
| 536527900 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6985 (Minnesota) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | R 124683-4 (Minnesota) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | R20158 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ellen Louise Zaeske is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Ellen Louise Zaeske, APRN, LICSW
1112 Nodak Dr S,
Fargo, ND 58103-2366
Ph: (701) 232-6224 | Ms Ellen Louise Zaeske, APRN, LICSW
1112 Nodak Dr S,
Fargo, ND 58103-2366
Ph: (701) 232-6224 |
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