Ellise Caroline Braveheart, RN, CNP, FNP-C
Ellise Caroline Braveheart, RN, CNP, FNP-C is a Nurse Practitioner in Cloquet, Minnesota. Qualified in 2022, 4 years ago. Practices with Polinsky Medical Rehabilitation Center, a 380-clinician group. Licensed in Minnesota.
- Years since qualifying
- 4
- Licensed in
- MN
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
927 Trettel LnCloquet, MN 55720-1345
Phone: (218) 879-1227
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 9590 (MN) |
|---|---|
| Medical-Surgical Registered Nurse | Taxonomy 163WM0705X · Licence R221785-9 (MN) |
Record details
| NPI number | 1275930026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , CNP , FNP-C |
| Sole proprietor | No |
| NPI enumerated | November 21, 2014 |
| Last updated in NPPES | January 3, 2023 |
| Certification date | January 3, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Polinsky Medical Rehabilitation Center — 380 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |