Individual
SHANNON MICHELLE BAKSHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1965 FORD PKWY, SAINT PAUL, MN 55116-1923
(651) 696-5640
Mailing address
5718 VILLAGE CREEK PKWY N, MINNEAPOLIS, MN 55443-3149
(612) 743-1668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 153459-1
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
3276
MN
Other
Enumeration date
09/08/2010
Last updated
03/11/2025
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