Elena Rose Bantle, PA-S is a student in an organized health care education training program in Duluth, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Elena Rose Bantle, PA-S NPI is 1487318911. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4116 N 79TH AVE W
DULUTH, MN
ZIP 55810-149
Phone: (218) 310-6519
The enumeration date for this NPI number is 10/31/2021 and was last updated on 10/31/2021.