Individual
SHANNON MENTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ARNP, CNP
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6480
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4860
MN
Other
Enumeration date
02/27/2017
Last updated
01/22/2021
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