Individual
SHANA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP, RN
Contact information
Practice address
100 2ND ST S, SARTELL, MN 56377-1977
(320) 251-2600
(320) 252-1199
Mailing address
1912 4TH ST N, SARTELL, MN 56377-1695
(320) 339-0605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R161219-6
MN
363LF0000X
Family Nurse Practitioner
Primary
7843
MN
Other
Enumeration date
04/11/2007
Last updated
10/30/2020
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