Individual
SHANNON ELIZABETH FAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 CENTRACARE DR, LONG PRAIRIE, MN 56347-2100
(320) 732-2131
(320) 732-6913
Mailing address
50 CENTRACARE DR, LONG PRAIRIE, MN 56347-2100
(320) 732-2131
(320) 732-6913
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
2457064
MN
363LF0000X
Family Nurse Practitioner
Primary
10893
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2023
Last updated
11/13/2025
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