NPI 1144208075 · live from the CMS NPI Registry
Ellen A Connolly-Eckhoff, CPNP
Nurse Practitioner, Pediatrics in Eagan, MN. National Provider Identifier 1144208075, active.
NPI record
| NPI | 1144208075 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1885 Plaza Dr, Eagan, MN 55122 |
| Practice phone | 952-993-4001 |
| Mailing address | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 |
| Enumerated | December 30, 2005 |
| Last updated | March 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R 1022090 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.