Individual
MARY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 551, ROBBINSDALE, MN 55422-2948
(763) 587-7737
(763) 587-7069
Mailing address
9201 W BROADWAY AVE, SUITE 601, BROOKLYN PARK, MN 55445-1923
(763) 587-7900
(763) 587-7069
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0790556
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698517300
—
MN
Enumeration date
07/20/2006
Last updated
10/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us