Individual
MOLLY JILL SHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
9851 HARRISON RD APT 308, BLOOMINGTON, MN 55437-2179
(612) 710-7587
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
6291
MN
Other
Enumeration date
09/21/2018
Last updated
01/22/2019
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