Ellesson, Barbara
Ellesson, Barbara is an individual health care provider with primary practice located at 1925 Woodwinds Dr , Woodbury MN 55125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ellesson, Barbara can be contacted via phone (651) 735-0501.Contact Information
Primary practice address
1925 Woodwinds Dr
Woodbury MN 55125
Phone: (651) 735-0501
Fax: (651) 735-1870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R0733238 | Minnesota |
Profile Details
| NPI number | 1538268511 |
|---|---|
| LBN Legal business name | Ellesson, Barbara |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 1st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538268511 | NPPES |
| Minnesota | MEDICAID | 104543100 |
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