Individual
LISA RENEE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP-BC; GNP; MAN;
Contact information
Practice address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439
(952) 283-3162
(866) 991-7241
Mailing address
7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439-3113
(952) 283-3162
(866) 991-7241
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
334
MN
Other
Enumeration date
05/22/2008
Last updated
10/11/2019
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