Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON NICOLE PETERSON
Active Sole ProprietorSHANNON NICOLE PETERSON is a Physician Assistant healthcare provider located in ROBBINSDALE, Minnesota. NPI 1215690177 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROBBINSDALE, MN
Registration Details
- NPI Number
- 1215690177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2021 (4.7968644558161 yrs)
- Last Updated
- Jul 12, 2023
- License
-
14422 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3300 OAKDALE AVE NROBBINSDALE, MN, 55422Browse MN providers · Browse ZIP 55422
- Phone
- 7635205200
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROBBINSDALE, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDA Y LIEN SANKS | PAC | 1497735674 |
| MRS. JACALYN JEANNE BEILER | PA-C | 1518927326 |
| GAIL MARIE HANSEN | PA C | 1831152396 |
| CRYSTAL FAITH CASTILLO | PAC | 1104872597 |
| TONYA FAUNDEEN | PA | 1578508032 |
| KAREN ELAINE RILEY | PA | 1912942525 |
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.