Individual
MRS. ANNA MICHELLE SHINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5631
Mailing address
20 TEAL ST, PONTOON BEACH, IL 62040-6480
(636) 345-0254
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2018041867
MO
Other
Enumeration date
11/23/2018
Last updated
11/18/2020
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