Lookup NPI Numbers from the NPI Registry
NPI Profile for ELLISE C BRAVEHEART in CLOQUET, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI Number | 1275930026 |
|
| Status | Active | |
| Credentials | RN, CNP, FNP-C | |
| Entity | Individual | |
| Enumeration date | 11/21/2014 | |
| Last updated | 01/03/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELLISE C BRAVEHEART
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ELLISE C BRAVEHEART, RN, CNP, FNP-C