Individual provider · Type 1 NPI

Harley Lyell Ellis, RN, CNP

Family Nurse Practitioner · Brainerd, MN

NPI number 1568536142 Active

Practice location

11855 State Ave, C.o.r.e. Brainerd
Brainerd, MN 56401-4127

Call (218) 828-2389 Map

Fax (218) 828-6165

Mailing address

1121 8th St S
Brainerd, MN 56401-4127

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR 092367-9 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1568536142

Harley Lyell Ellis, RN, CNP's National Provider Identifier is 1568536142, issued on Nov 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brainerd, MN. The record was last updated on Jul 8, 2007.