Individual
SHADRIN K CONSTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 787-8408
(612) 567-8935
Mailing address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 787-8408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
238554-5
MN
363LF0000X
Family Nurse Practitioner
Primary
12211
MN
Other
Enumeration date
02/21/2024
Last updated
07/17/2025
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