Individual
MS. SHONTEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5565 BLAINE AVE, INVER GROVE HEIGHTS, MN 55076-1238
(651) 241-9400
(651) 241-9366
Mailing address
PO BOX 206, MINNEAPOLIS, MN 55480-0206
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4354
MN
Other
Enumeration date
03/17/2016
Last updated
04/01/2025
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