Ellis, Harley Lyell

Ellis, Harley Lyell is an individual health care provider with primary practice located at 11855 State Ave C.O.R.E. Brainerd, Brainerd MN 56401-4127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ellis, Harley Lyell can be contacted via phone (218) 828-2389.

Contact Information

Primary practice address
11855 State Ave C.O.R.E. Brainerd Brainerd MN 56401-4127
Phone: (218) 828-2389
Fax: (218) 828-6165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 092367-9 Minnesota

Profile Details

NPI number 1568536142
LBN Legal business name Ellis, Harley Lyell
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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