Individual
MRS. SHANNON O'GARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3213
Mailing address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6744
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
6744
MN
Other
Enumeration date
08/19/2019
Last updated
07/19/2023
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