Individual
SHELBY MARIE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413-2197
(651) 871-1145
Mailing address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413-2197
(651) 877-1145
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
2150709
MN
363L00000X
Nurse Practitioner
Primary
8310
MN
Other
Enumeration date
06/15/2021
Last updated
07/22/2021
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