Shogren, Katheryn M

Shogren, Katheryn M is an individual health care provider with primary practice located at 8611 W Point Douglas Rd S , Cottage Grove MN 55016-4005. 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. Shogren, Katheryn M can be contacted via phone (651) 458-1884.

Contact Information

Primary practice address
8611 W Point Douglas Rd S Cottage Grove MN 55016-4005
Phone: (651) 458-1884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0938949 Minnesota

Profile Details

NPI number 1255394607
LBN Legal business name Shogren, Katheryn M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 13th, 2015 - about 9 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255394607 NPPES
Minnesota MEDICAID 126227100

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