Individual
MS. SUZANNE ELIZABETH SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
913 E 26TH ST STE 305, MINNEAPOLIS, MN 55404-4515
(612) 871-7278
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP5086
MN
363LA2100X
Acute Care Nurse Practitioner
CNP 5086
MN
363LA2100X
Acute Care Nurse Practitioner
CNP5086
MN
Other
Enumeration date
10/04/2011
Last updated
05/30/2024
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