Braveheart, Ellise Caroline

Braveheart, Ellise Caroline is an individual health care provider with primary practice located at 927 Trettel Ln , Cloquet MN 55720-1345. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Braveheart, Ellise Caroline can be contacted via phone (218) 879-1227.

Contact Information

Primary practice address
927 Trettel Ln Cloquet MN 55720-1345
Phone: (218) 879-1227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X R221785-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9590 Minnesota

Profile Details

NPI number 1275930026
LBN Legal business name Braveheart, Ellise Caroline
Credentials RN, CNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2014
Last updated Jan 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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