Individual provider · Type 1 NPI

Judith Marie Ellerbusch, NP

Specialist · Roseville, MN

NPI number 1801163928 Active

Practice location

2277 Highway 36 W
Roseville, MN 55113-3804

Mailing address

290 Cedar Cove Ln
Owatonna, MN 55060-4200

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR846552 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801163928

Judith Marie Ellerbusch, NP's National Provider Identifier is 1801163928, issued on Nov 17, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roseville, MN. The record was last updated on Nov 17, 2011.