ELLENA WELLNESS NPI 1780511659

NPI Information

  • NPI: 1780511659
  • Provider Name: ELLENA WELLNESS
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 125 SE MAIN ST STE 235
    MINNEAPOLIS, MN
    ZIP 55414
  • Phone: (262) 719-6184

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NPI Details

ELLENA WELLNESS is a primary care nurse practitioner in Minneapolis, MN. ELLENA WELLNESS NPI is 1780511659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 SE MAIN ST STE 235
MINNEAPOLIS, MN
ZIP 55414-143
Phone: (262) 719-6184

The provider's authorized official is Devon Ellena .
The authorized official title is Owner and has the following contact phone number (262) 719-6184.

The enumeration date for this NPI number is 5/6/2026 and was last updated on 5/6/2026.

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
1363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

NPI Synchronization or Removal

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