Individual
SHIANNE M LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
194 MISSILE AVE, MINOT AFB, ND 58703
(701) 723-5633
Mailing address
194 MISSILE AVE, MINOT AFB, ND 58704
(701) 723-5633
(630) 570-6065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R44781
ND
Other
Enumeration date
02/04/2020
Last updated
12/24/2025
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