Healthcare Provider Details

I. General information

NPI: 1144150327
Provider Name (Legal Business Name): ELENA BAINS BUELTEL-HANSON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 E 26TH ST # 402
MINNEAPOLIS MN
55404-4515
US

IV. Provider business mailing address

400 N 1ST ST APT 505
MINNEAPOLIS MN
55401-1394
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-3150
  • Fax:
Mailing address:
  • Phone: 507-676-7919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2482385
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: