Individual
SHAWNA MARIE WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9378 LEXINGTON AVE N, CIRCLE PINES, MN 55014-1671
(763) 792-9471
Mailing address
1801 113TH AVE NW APT 207, COON RAPIDS, MN 55433-3730
(612) 616-1523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
191945-9
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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