Individual
SHANON ERIN CAILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18336 260TH ST SW, CROOKSTON, MN 56716
(218) 289-2787
Mailing address
18336 260TH ST SW, CROOKSTON, MN 56716-9410
(218) 289-2787
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11875
MN
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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