Individual
SHANNON ROSE PETROSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6898
Mailing address
3429 OUTER DRIVE, HIBBING, MN 55746
(218) 750-7511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4645
MN
Other
Enumeration date
07/13/2016
Last updated
06/14/2017
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