Individual
SHAYE SISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102-2568
(651) 290-0133
(651) 241-2910
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
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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