Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 59312 | MN |
Y | 2080P0208X | Pediatric Infectious Diseases | 59312 | MN |
NPI | 1548559206 |
---|---|
Provider Name | Dr. Shannon L Andrews |
First Address | Minneapolis, MN 55454 |
Second Address | Minneapolis, MN 55454-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 08/12/2021 |