# SHAWN CHRISTOPHER WEDLUND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922510007
- **Gender:** Man
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2041452 | MN | — |
| 363LP0200X | Pediatric Nurse Practitioner | 5458 | MN | Yes |

## Other

- **Enumeration date:** 10/30/2017
- **Last updated:** 10/30/2017