Alesya Shumkov, FNP-BC
Nurse Practitioner, Family in Minnetonka, MN. Individual provider (NPI-1).
NPI number1831963552
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1831963552
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alesya Shumkov
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2023
- Certification date
- Oct 9, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11015 | MN | Yes |
Practice location
1700 Plymouth Rd Ste DMinnetonka, MN 55305-1969
Phone 612-963-2784
Mailing address
1700 Plymouth Rd Ste DMinnetonka, MN 55305-1969
Phone 612-388-1902
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