Individual
MRS. SHARI LYNN SIMONDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
121 DREW AVE SE, MADELIA, MN 56062-1841
(507) 642-5200
Mailing address
110 ICHABOD LANE, MANKATO, MANKATO, MN 56001
(507) 625-8945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R120729-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R120729-7
RN LICENSE
MN
Enumeration date
07/24/2006
Last updated
09/02/2021
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