Search › Minnesota › 207PS0010X
Leslie Ellis
NPI 1568889418 · on the registry since 2014 · sole proprietor
Practice
- Address
- 155 Radio Dr
Woodbury, MN 55125 - Phone
- (952) 831-8742
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Additional practice sites
- 1 Gustave Apt 4h, New York, NY
Registry record
- Primary taxonomy
- 207PS0010X
207PS0010X
- Also registered as
- 207PS0010X
390200000X - Licence states on file
- NY, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota