Individual
SHELBY MARIE SUNDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(763) 412-1993
Mailing address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(763) 412-1993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10114
MN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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