Individual
SHANNON MARIE PATCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7590 LYRIC LN NE, FRIDLEY, MN 55432-3251
(763) 236-4300
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6452
MN
363LA2200X
Adult Health Nurse Practitioner
6452
MN
Other
Enumeration date
07/15/2019
Last updated
10/14/2019
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