Individual
MRS. ALESYA SHUMKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1700 PLYMOUTH RD STE D, MINNETONKA, MN 55305-1969
(612) 963-2784
Mailing address
1700 PLYMOUTH RD STE D, MINNETONKA, MN 55305-1969
(612) 388-1902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11015
MN
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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