Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHELLY LEA LARSON-PETERS, M.D.
ActiveDR. SHELLY LEA LARSON-PETERS, M.D. is a Neurology healthcare provider located in BLAINE, Minnesota. NPI 1336333509 is currently active in the NPPES registry. Verify at CMS.
Neurology · BLAINE, MN
Registration Details
- NPI Number
- 1336333509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2007 (18.99718235115 yrs)
- Last Updated
- Jul 30, 2023
- License
-
50897 (MN)
Practice Information
- Address
-
11091 ULYSSES STSUITE 100BLAINE, MN, 554344238Browse MN providers · Browse ZIP 55434
- Phone
- 6128791000
- Fax
- 6128799116
- Primary Specialty
-
Neurology
2084N0400X
Other Neurology Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| ANA P GROESCHEL | M.D. | 1417951435 |
| PLAMEN P TODOROW | MD | 1497736045 |
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.