IndividualActive
Alice Ellison, FNP-C
NPI 1114780228 · Public Health & General Preventive Medicine Physician · Minnetonka, MN
Provider details
- NPI number
- 1114780228
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2023045679 (MO)
Mailing address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Registry dates
- Enumerated
- 2024-02-01
- Last updated
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.