Shannon Elizabeth Fah, NP
Nurse Practitioner, Family in Long Prairie, MN. Individual provider (NPI-1).
NPI number1548043144
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1548043144
- Entity type
- Individual (NPI-1)
- Name
- Shannon Elizabeth Fah
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10893 | MN | Yes |
| 163WH0200X | Registered Nurse, Home Health | 2457064 | MN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
50 Centracare DrLong Prairie, MN 56347-2100
Phone 320-732-2131 · Fax 320-732-6913
Mailing address
50 Centracare DrLong Prairie, MN 56347-2100
Phone 320-732-2131 · Fax 320-732-6913
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All 9 Family Nurse Practitioner providers in Long Prairie · All 83 providers in Long Prairie
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