| Harley Lyell Ellis, RN, CNP | |
|
11855 State Ave, C.o.r.e. Brainerd, Brainerd, MN 56401-4127 | |
| (218) 828-2389 | |
| (218) 828-6165 |
| Full Name | Harley Lyell Ellis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 11855 State Ave, Brainerd, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568536142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 092367-9 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Harley Lyell Ellis, RN, CNP 1121 8th St S, Brainerd, MN 56401-4127 Ph: (218) 829-0895 | Harley Lyell Ellis, RN, CNP 11855 State Ave, C.o.r.e. Brainerd, Brainerd, MN 56401-4127 Ph: (218) 828-2389 |
Nancy Rae Wadsten, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 722 Nw 7th St, Brainerd, MN 56401 Phone: 218-821-1096 | |
Luke Funk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 Front St, Brainerd, MN 56401 Phone: 218-327-2001 | |
Karli G Dullum, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 | |
Deanne Ehlert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-825-7100 | |
Danette Lee Diethert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 Fax: 218-828-3130 | |
Jordan Benson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 Fax: 218-828-7194 | |
Kimberly E Henderson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 507-884-4856 |