Myrom, Shelly Joan
Myrom, Shelly Joan is an individual health care provider with primary practice located at 300 State Ave , Faribault MN 55021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Myrom, Shelly Joan can be contacted via phone (507) 333-3300.Contact Information
Primary practice address
300 State Ave
Faribault MN 55021
Phone: (507) 333-3300
Fax: (507) 333-3214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R0848026 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1378 | Minnesota |
Profile Details
NPI number | 1508884917 |
---|---|
LBN Legal business name | Myrom, Shelly Joan |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Jan 29th, 2024 - about 8 months ago |
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.
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