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Nancy Grace Shaddi
Psychiatric/Mental Health Nurse Practitioner in Andover, Minnesota
NPI 1831771427

Nancy Grace Shaddi is a Psychiatric/Mental Health Nurse Practitioner based in Andover, MN and is specialized in Psychiatric/Mental Health. Nancy Grace Shaddi practices in Andover, MN. The NPI Number for Nancy Grace Shaddi is 1831771427 and holds a License No. 8148 (Minnesota).

The current practice location address for Nancy Grace Shaddi is 1353 161St Ln Nw, Andover, MN and can be reached out via phone at 651-208-7331.

Location: 1353 161St Ln Nw, Andover, MN, 55304-5067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831771427
Provider Name
Nancy Grace Shaddi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1353 161St Ln Nw, Andover, MN, 55304-5067
Phone Number
651-208-7331
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1353 161St Ln Nw
City
Andover
State
Minnesota
Zip
55304-5067
Phone Number
651-208-7331
Fax Number
person
Provider Business Mailing Address Details
Address
1353 161St Ln Nw
City
Andover
State
Minnesota
Zip
55304-5067
Phone Number
651-208-7331
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
8148 (Minnesota)
Definition
Definition to come...
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