Individual
SHAYE SISNEROS
Active
Individual
SHAYE SISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
2494733
MN
363LA2200X
Adult Health Nurse Practitioner
9215
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
9215
MN
Other
Enumeration date
01/30/2023
Last updated
10/13/2025
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