Individual
SHANNON MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN 55433-2774
(763) 712-2100
Mailing address
7165 WALNUT GROVE WAY N, MAPLE GROVE, MN 55311-1030
(701) 640-6480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9614
MN
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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