Individual
SHANNON R WEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNM
Contact information
Practice address
347 SMITH AVE N STE 203, SAINT PAUL, MN 55102-2388
(512) 417-7336
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
2458332
MN
367A00000X
Advanced Practice Midwife
Primary
469
MN
Other
Enumeration date
09/04/2018
Last updated
12/08/2023
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