Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ellen B Ellickson, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1578747085

MS. Ellen B Ellickson, CNP is a Gerontology Nurse Practitioner in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1245 15th St N
Saint Cloud, MN 56303-1802
Phone: (320) 203-2087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R 059057-8 (MN)

Record details

NPI number1578747085
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 19, 2007
Mailing address1245 15th St N, Saint Cloud, MN 56303-1802

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