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Shannon Jean Roth, APRN,CNP
Nurse Practitioner in Duluth, Minnesota
NPI 1144208976

Shannon Jean Roth is a Nurse Practitioner based in Duluth, MN. Shannon Jean Roth practices in Duluth, MN and has the professional credentials of APRN,CNP. The NPI Number for Shannon Jean Roth is 1144208976 and holds a License No. 3280 (Minnesota).

The current practice location address for Shannon Jean Roth is 400 E 3Rd St, Duluth, MN and can be reached out via phone at 218-786-8364.

Location: 400 E 3Rd St, Duluth, MN, 55805-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144208976
Provider Name
Shannon Jean Roth
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
400 E 3Rd St, Duluth, MN, 55805-1951
Phone Number
218-786-8364
Fax Number
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
408164100 05 MN
19873 05 ND
institution
Provider Business Practice Location Address Details
Address
400 E 3Rd St
City
Duluth
State
Minnesota
Zip
55805-1951
Phone Number
218-786-8364
Fax Number
person
Provider Business Mailing Address Details
Address
400 E 3Rd St
City
Duluth
State
Minnesota
Zip
55805-1951
Phone Number
218-786-8364
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R1433638-5 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3280 (Minnesota)
Definition
Definition to come...
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