Individual
SHELLEY A BRATHOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
205 S WABASHA ST, HEALTHPARTNERS ST. PAUL URGENT CARE, ST. PAUL, MN 55107-1805
(952) 853-8800
(651) 293-8106
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 293-8106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
65387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
963219100
—
MN
Enumeration date
02/15/2006
Last updated
04/02/2012
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