NPI 1033139910

Mary Shields, NP

Practitioner Gerontology Nurse Practitioner Robbinsdale, MN

Practice location

Address: 3366 Oakdale Ave N Suite 551, Robbinsdale, MN 55422-2948
Phone: (763) 587-7737
Fax: (763) 587-7069
Mailing address: 9201 W Broadway Ave Suite 601, Brooklyn Park, MN 55445-1923

Registered specialties

Gerontology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence R0790556 (MN)

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Registry record

NPI: 1033139910
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2006
Record last updated: 25 Oct 2013

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.