Individual provider · Type 1 NPI

Sandra Jo Ellingboe

Licensed Practical Nurse · Marshall, MN

NPI number 1902188550 Active

Practice location

1411 E College Dr
Marshall, MN 56258-2086

Fax (507) 532-6920

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL56707-7 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1902188550

Sandra Jo Ellingboe's National Provider Identifier is 1902188550, issued on Sep 9, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marshall, MN. The record was last updated on Sep 9, 2011.