Individual
NATHANAEL PAUL SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 483-5461
(651) 483-2155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14956
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
06/26/2025
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