Individual provider · Type 1 NPI
Devon Simone Ellena, NP
Adult Health Nurse Practitioner · Apple Valley, MN
NPI number
1467087064
Active
Practice location
14655 Galaxie Ave
Apple Valley, MN 55124-8602
Fax (952) 891-3921
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Other practice locations
- 5329 Park Ave, Minneapolis, MN 55417-1719 · (262) 719-6184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 7290 (MN) |
| Gerontology Nurse Practitioner | 363LG0600X | 7290 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1467087064
Devon Simone Ellena, NP's National Provider Identifier is 1467087064, issued on Mar 4, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Apple Valley, MN. The record was last updated on Oct 7, 2020.