Mary Shields
Nurse Practitioner - Gerontology
3366 Oakdale Ave N Suite 551
Robbinsdale
, Minnesota 55422-2948
Mary Shields
Nurse Practitioner - Gerontology
3366 Oakdale Ave N Suite 551
Robbinsdale
, Minnesota 55422-2948
(763) 587-7069
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mary Shields
- 9201 W Broadway Ave Suite 601
- Brooklyn Park, MN
- Zip : 55445-1923
- Fax : (763) 587-7069
- Phone : (763) 587-7900
Second Address
- Mary Shields
- 3366 Oakdale Ave N Suite 551
- Robbinsdale, MN
- Zip : 55422-2948
- Fax : (763) 587-7069
- Phone : (763) 587-7737
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FAQs
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What type of doctor is Mary Shields
In what state does Mary Shields practice in?
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What is Mary Shields ’s gender?
Is Mary Shields a sole practitioner?
Is Mary Shields accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | R0790556 | MN |
National Provider Identifier
| NPI | 1033139910 |
|---|---|
| Provider Name | Mary Shields |
| First Address | Brooklyn Park, MN 55445-1923 |
| Second Address | Robbinsdale, MN 55422-2948 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 25/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 698517300 | (05) | MN |
| R90622 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.