Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON NICOLE STUART
ActiveChild & Adolescent Psychiatric Nurse · VADNAIS HEIGHTS, MN
Registration Details
- NPI Number
- 1164157137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2022 (3.7885843919742 yrs)
- Last Updated
- Jul 22, 2022
- License
-
R200054-5 (MN)
Practice Information
- Address
-
3555 WILLOW LAKE BLVD STE 290VADNAIS HEIGHTS, MN, 551104465Browse MN providers · Browse ZIP 55110
- Phone
- 9524315330
- Fax
- 9524315334
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in VADNAIS HEIGHTS, MN
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE M. HUMPHREY | R.N. | 1548995871 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.