Individual
SHANNON NICOLE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110-4465
(952) 431-5330
(952) 431-5334
Mailing address
3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110-4465
(952) 431-5330
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R200054-5
MN
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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