Ellena, Devon Simone
Ellena, Devon Simone is an individual health care provider with primary practice located at 14655 Galaxie Ave , Apple Valley MN 55124-8602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ellena, Devon Simone can be contacted via phone (952) 432-6161.Contact Information
Primary practice address
14655 Galaxie Ave
Apple Valley MN 55124-8602
Phone: (952) 432-6161
Fax: (952) 891-3921
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 7290 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 7290 | Minnesota |
Profile Details
NPI number | 1467087064 |
---|---|
LBN Legal business name | Ellena, Devon Simone |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2020 |
Last updated | Oct 7th, 2020 - about 4 years ago |
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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