National Provider Identifier Database

NOELLE ELLIS, MD – NPI #1376805770
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

NOELLE ELLIS, MD
13980 NORTHDALE BLVD
ROGERS, MN55374-2147
Phone: 763-428-1920
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for NOELLE ELLIS

NPI Number 1376805770
Credentials MD
Entity Individual
Enumeration date 06/12/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 113046
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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