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Individual

MRS. SHANNON KAY BATEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
7175 AMBER RIDGE DR, COLORADO SPRINGS, CO 80922-2420
(719) 596-7957

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
164203
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
217818-9
MN

Other

Enumeration date
08/23/2011
Last updated
04/03/2014
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