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Individual

SHANNON MARIE MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 326-3800
Mailing address
396 LINDA AVE, LINO LAKES, MN 55014-6404
(612) 770-4296

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP 5045
MN

Other

Enumeration date
03/23/2017
Last updated
09/16/2019
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