Lisa Renee Shields, APNP-BC; GNP; MAN;
Nurse Practitioner, Gerontology in Minneapolis, MN. Individual provider (NPI-1).
NPI number1265699698
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1265699698
- Entity type
- Individual (NPI-1)
- Name
- Lisa Renee Shields
- Credential
- APNP-BC; GNP; MAN;
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2008
- Last updated
- Oct 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 334 | MN | Yes |
Other names
- Lisa Renee Baner (Former Name)
Practice location
7801 E Bush Lake Rd Ste 400Minneapolis, MN 55439
Phone 952-283-3162 · Fax 866-991-7241
Mailing address
7801 E Bush Lake Rd Ste 400Minneapolis, MN 55439-3113
Phone 952-283-3162 · Fax 866-991-7241
Other practice locations
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All 109 Gerontology Nurse Practitioner providers in Minneapolis · All 27,202 providers in Minneapolis
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