Mrs. Ellie Flannery
Nurse Practitioner - Pediatrics
5046 Everest Ln N
Plymouth
, Minnesota 55446-4520
Mrs. Ellie Flannery
Nurse Practitioner - Pediatrics
5046 Everest Ln N
Plymouth
, Minnesota 55446-4520
(612) 669-8725
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Ellie Flannery
- 5046 Everest Ln N
- Plymouth, MN
- Zip : 55446-4520
- Phone : (612) 669-8725
Second Address
- Mrs. Ellie Flannery
- 5046 Everest Ln N
- Plymouth, MN
- Zip : 55446-4520
- Phone : (612) 669-8725
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 20091436 | MN |
National Provider Identifier
| NPI | 1033484647 |
|---|---|
| Provider Name | Mrs. Ellie Flannery |
| First Address | Plymouth, MN 55446-4520 |
| Second Address | Plymouth, MN 55446-4520 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2012 |
| Last Update Date | 14/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.