Individual
SHANTELLE FERAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(651) 635-9173
(651) 628-2999
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R192604-4
MN
363LP2300X
Primary Care Nurse Practitioner
R32006
ND
Other
Enumeration date
06/04/2012
Last updated
03/17/2021
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