Provider Demographics
NPI:1386099885
Name:WHELIHAN, ELLEN MARGRETTA (DNP)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MARGRETTA
Last Name:WHELIHAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:MARGRETTA
Other - Last Name:STEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:NEUROLOGY, MMC 295
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2512 S 7TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1404
Practice Address - Country:US
Practice Address - Phone:612-365-6777
Practice Address - Fax:612-365-8001
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 4219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily