MS. ELLEN LOUISE ZAESKE APRN LICSW NPI 1346313616

NPI Information

NPI: 1346313616
Provider Name: MS. ELLEN LOUISE ZAESKE, APRN, LICSW
Classification: Clinical Nurse Specialist - 364SP0808X
Specialization: Psychiatric/Mental Health
Entity Type: Individual
Address: 1112 NODAK DR S
FARGO, ND
ZIP 58103
Phone: (701) 232-6224

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NPI Details

MS. Ellen Louise Zaeske, APRN, LICSW is a psychiatric/mental health clinical nurse specialist in Fargo, ND. MS. Ellen Louise Zaeske, APRN, LICSW NPI is 1346313616. 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:

1112 NODAK DR S
FARGO, ND
ZIP 58103-366
Phone: (701) 232-6224
Fax: (701) 232-4687

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	6985	MINNESOTA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	R 124683-4	MINNESOTA	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	R20158	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	536527900	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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