Individual
SHAWN LEE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
16412 TALL PINES LN, MERRIFIELD, MN 56465-4080
(218) 296-0383
Mailing address
16412 TALL PINES LN, MERRIFIELD, MN 56465-4080
(218) 296-0383
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
R170566-3
MN
363LF0000X
Family Nurse Practitioner
Primary
12779
MN
Other
Enumeration date
05/09/2011
Last updated
04/01/2026
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