Individual
SHOSHANNAH ROSE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
4521 HAMPSHIRE AVE N, CRYSTAL, MN 55428-5135
(612) 578-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8105
MN
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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