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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHEA MACKENZIE BONINE, MS, CGC (GENETIC COU

Active

SHEA MACKENZIE BONINE, MS, CGC (GENETIC COU is a Genetic Counselor healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1831714245 is currently active in the NPPES registry. Verify at CMS.

Genetic Counselor · ST LOUIS PARK, MN

Registration Details

NPI Number
1831714245
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2020 (6.0317638823679 yrs)
Last Updated
Aug 28, 2024
Licenses
1478-61 (WI)
1408 (MN)

Practice Information

Address
3931 LOUISIANA AVE S
SUITE E315
ST LOUIS PARK, MN, 55426
Browse MN providers · Browse ZIP 55426
Phone
9529935381
Fax
9529936539
Primary Specialty
Genetic Counselor
170300000X
Additional Specialty
Genetic Counselor
Additional Specialty
Genetic Counselor

Other Genetic Counselor Providers in ST LOUIS PARK, MN

Name Credential NPI
MS. KATHERINE MICHELLE BAKER-LANGE M.S, CGC 1033176649
JINA FAUROT M.S., C.G.C. 1699071191
DR. LINDSEY KAY BADE PHD, MS, CGC 1417350836
GEMMA NELSON 1922465723
MS. MALIA TRIEBOLD MS 1962028274
STEPHEN J HAYS MS 1750002804
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.