Tello, Elizabeth M
Tello, Elizabeth M is an individual health care provider with primary practice located at 516 Delaware St Se 5-100 Pwb, Clinic 5B, Minneapolis MN 55455-0356. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Tello, Elizabeth M can be contacted via phone (612) 626-2663.Contact Information
Primary practice address
516 Delaware St Se 5-100 Pwb, Clinic 5B
Minneapolis MN 55455-0356
Phone: (612) 626-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R 158528 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R 158528 | Minnesota |
Profile Details
| NPI number | 1801074554 |
|---|---|
| LBN Legal business name | Tello, Elizabeth M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2008 |
| Last updated | Jan 6th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801074554 | NPPES |
| Minnesota | Other | 398N6BR | BCBS |
| Minnesota | Other | 139825 | BCBS |
| Minnesota | Other | B516 | BCBS |
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