Individual
SHANNON NOELLE PLANTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3850 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11992
MN
363LA2200X
Adult Health Nurse Practitioner
0000000
MN
363LA2200X
Adult Health Nurse Practitioner
11992
MN
363LG0600X
Gerontology Nurse Practitioner
11992
MN
Other
Enumeration date
07/31/2024
Last updated
01/18/2026
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