Individual
SHAWN MARIE MYHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3415 N POTSDAM AVE, SIOUX FALLS, SD 57104-7017
(605) 338-2066
(605) 371-3754
Mailing address
3415 N POTSDAM AVE, SIOUX FALLS, SD 57104-7017
(605) 338-2066
(605) 371-3754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000458
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6826292
—
SD
Enumeration date
07/12/2006
Last updated
06/10/2011
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