Individual
SHANNON M PERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
7500 FRANCE AVE S, EDINA, MN 55435-3400
(952) 835-1311
(952) 863-1077
Mailing address
7500 FRANCE AVE S, EDINA, MN 55435-3400
(952) 835-1311
(952) 863-1077
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1991
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991
LICENSE
MN
01
—
855257
REGISTERED DIETITIAN
MN
Enumeration date
06/16/2006
Last updated
07/21/2022
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