Individual provider · NPI-1

Priscilla L Ellinor, RN, CNP

Nurse Practitioner, Pediatrics · Fargo, ND

NPI number1356375935
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1356375935
Entity type
Individual (NPI-1)
Name
Priscilla L Ellinor
Credential
RN, CNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsR32307NDYes
363LP0200X Nurse Practitioner, PediatricsRN.242052-COA1OH

Practice location

700 1st Ave S
Fargo, ND 58122-0001

Phone 701-234-4036 · Fax 701-234-4003

Mailing address

700 1st Ave S
Fargo, ND 58122-0001

Phone 701-234-4036 · Fax 701-234-4003

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