Elise Mincke, RN
Registered Nurse, Case Management in Minneapolis, MN. Individual provider (NPI-1).
NPI number1104715044
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1104715044
- Entity type
- Individual (NPI-1)
- Name
- Elise Mincke
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2025
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 2431884 | MN | Yes |
Practice location
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-467-6779
Mailing address
6775 245th St WFarmington, MN 55024-9646
Phone 612-210-5440
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