Individual
SHAYNA HAMIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
2117 PINE RIDGE RD S, MORA, MN 55051-6821
(612) 805-9026
Mailing address
2117 PINE RIDGE RD S, MORA, MN 55051-6821
(612) 805-9026
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R170264-0
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
10623
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10623
APRN LICENSE - CNP
MN
01
—
R170264-0
RN LICENSE - MN
MN
Enumeration date
06/04/2020
Last updated
08/15/2023
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