Individual provider · Type 1 NPI
Mattie Rose Ellenson, APRN, CNP
Women's Health Nurse Practitioner · Staples, MN
NPI number
1316579337
Active
Practice location
49725 County 83
Staples, MN 56479-5280
Fax (218) 898-7518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 12090 (MN) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1316579337
Mattie Rose Ellenson, APRN, CNP's National Provider Identifier is 1316579337, issued on Feb 7, 2020. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Staples, MN. The record was last updated on Sep 23, 2025.