Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 351 | MN |
NPI | 1134647225 |
---|---|
Provider Name | Mrs. April Marie Shuneson |
First Address | Red Wing, MN 55066-2848 |
Second Address | Red Wing, MN 55066-2848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2017 |
Last Update Date | 29/09/2020 |