NPI 1003438037

Shannon Marie Hacka

Practitioner Other Technician Saint Paul, MN

Practice location

Address: 1011 Meadowlands Dr STE 1&2, Saint Paul, MN 55127-2339
Phone: (507) 322-7752
Mailing address: 1680 Westminster St, Saint Paul, MN 55130-3039

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1003438037
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2020
Record last updated: 13 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.