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HARLEY LYELL ELLIS RN, CNP
NPI 1568536142
Nurse Practitioner - Family in Brainerd, MN

Active since November 17, 2006
11855 STATE AVE, C.O.R.E. BRAINERD, BRAINERD, MN 56401(218) 828-2389(218) 828-6165 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harley Lyell Ellis Rn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARLEY LYELL ELLIS RN, CNP (NPI 1568536142) is an individual family provider in Brainerd, Minnesota, licensed in Minnesota (R 092367-9) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1568536142
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHARLEY LYELL ELLISCredential: RN, CNP
Location Address11855 STATE AVE, C.O.R.E. BRAINERDBrainerd, MN 56401-4127
Mailing Address1121 8th St SBrainerd, MN 56401-4127 · (218) 829-0895
Phone(218) 828-2389
Fax(218) 828-6165
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568536142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R 092367-9
11855 STATE AVE, Brainerd, MN 56401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harley Ellis's NPI number?

The NPI number for Harley Ellis is 1568536142. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Harley Ellis located?

Harley Ellis practices at 11855 State Ave C.O.R.E. Brainerd, Brainerd, MN 56401. The listed phone number is (218) 828-2389.

What is Harley Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Harley Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.