Individual
SHIRLEY V NORDAHL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BSN, CPNP
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R 065940-6
MN
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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