Individual
MS. SHELLY ANN PATNAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
752 SARAZIN ST, SHAKOPEE, MN 55379-4332
(612) 382-2871
Mailing address
752 SARAZIN ST, SHAKOPEE, MN 55379-4332
(612) 382-2871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56815-7
MN
Other
Enumeration date
05/22/2011
Last updated
05/22/2011
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