Gonnion, Shannon Lynn

Gonnion, Shannon Lynn is an individual health care provider with primary practice located at 270 Main St N Ste 300 , Stillwater MN 55082-6788. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gonnion, Shannon Lynn can be contacted via phone (651) 342-1039.

Contact Information

Primary practice address
270 Main St N Ste 300 Stillwater MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4565-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9510 Minnesota

Profile Details

NPI number 1558393157
LBN Legal business name Gonnion, Shannon Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated May 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558393157 NPPES
Minnesota Other 127848 UCARE
Minnesota Other 77R94GO UCARE
Minnesota Other 01-17276 UCARE
Minnesota Other 1043769 UCARE
Minnesota MEDICAID 288675800 UCARE
Minnesota Other HP40903 UCARE

Popular Providers