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Shannon N Siekas
Family Nurse Practitioner in Baxter, Minnesota
NPI 1003222597

Shannon N Siekas is a Family Nurse Practitioner based in Brainerd, MN and is specialized in Family. Shannon N Siekas practices in Baxter, MN. The NPI Number for Shannon N Siekas is 1003222597 and holds a License No. 179217-1 (Minnesota).

The current practice location address for Shannon N Siekas is 13060 Isle Dr, Baxter, MN and can be reached out via phone at 218-828-2880.

Location: 13060 Isle Dr, Baxter, MN, 56401-3054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003222597
Provider Name
Shannon N Siekas
Credential
Provider Entity Type
Individual
Gender
Female
Address
13060 Isle Dr, Baxter, MN, 56401-3054
Phone Number
218-828-2880
Fax Number
Provider Enumeration Date
07/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1792171 01 MN MN BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
13060 Isle Dr
City
Baxter
State
Minnesota
Zip
56425-8331
Phone Number
218-828-2880
Fax Number
person
Provider Business Mailing Address Details
Address
13060 Isle Dr
City
Baxter
State
Minnesota
Zip
56425-8331
Phone Number
218-828-2880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
179217-1 (Minnesota)
Definition
Definition to come...
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