Individual
KELLY A SHEFLAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1290479
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117264
MEDICA HEALTH PLANS
—
01
—
1040969
PREFERRED ONE
—
01
—
166085
U-CARE
—
01
—
2121654
ARAZ GROUP/AMERICA'S PPO
—
01
—
293L4SH
BLUE CROSS BLUE SHIELD
—
01
—
50A45CE
BLUE CROSS BLUE SHIELD
—
01
—
HP40007
HEALTH PARTNERS
—
Enumeration date
11/02/2005
Last updated
07/08/2007
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