Molly Jill Shand
Nurse Practitioner - Neonatal
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
Molly Jill Shand
Nurse Practitioner - Neonatal
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
(612) 710-7587
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Molly Jill Shand
- 9851 Harrison Rd Apt 308
- Bloomington, MN
- Zip : 55437-2179
- Phone : (612) 710-7587
Second Address
- Molly Jill Shand
- 2450 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1450
- Phone : (612) 672-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 6291 | MN |
National Provider Identifier
| NPI | 1174007504 |
|---|---|
| Provider Name | Molly Jill Shand |
| First Address | Bloomington, MN 55437-2179 |
| Second Address | Minneapolis, MN 55454-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2018 |
| Last Update Date | 22/01/2019 |
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.