Individual
SHANNON BICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
299 JOHNSON AVE SW, SUITE 160, WASECA, MN 56093-2539
(507) 835-0689
Mailing address
299 JOHNSON AVE SW, SUITE 160, WASECA, MN 56093-2539
(507) 835-0689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-164995-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41-6005917
WASECA COUNTY PUBLIC HEALTH
MN
Enumeration date
05/31/2016
Last updated
06/21/2016
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