Zaeske, Ellen Louise

Zaeske, Ellen Louise is an individual health care provider with primary practice located at 1112 Nodak Dr S , Fargo ND 58103-2366. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Zaeske, Ellen Louise can be contacted via phone (701) 232-6224.

Contact Information

Primary practice address
1112 Nodak Dr S Fargo ND 58103-2366
Phone: (701) 232-6224
Fax: (701) 232-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6985 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R 124683-4 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R20158 North Dakota

Profile Details

NPI number 1346313616
LBN Legal business name Zaeske, Ellen Louise
Credentials APRN, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Aug 8th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346313616 NPPES
Minnesota MEDICAID 536527900

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