Individual
SHAWNTEL ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-193109-7
MN
363LF0000X
Family Nurse Practitioner
Primary
6243
MN
Other
Enumeration date
09/26/2018
Last updated
11/11/2019
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