Individual
SHEA M HERMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
720 STEWART AVE, SAINT PAUL, MN 55102-4119
(651) 225-8350
Mailing address
720 STEWART AVE, SAINT PAUL, MN 55102-4119
(651) 225-8350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1183311
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
RN 079301
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512455700
—
MN
Enumeration date
04/26/2006
Last updated
09/16/2024
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