Individual provider · Type 1 NPI

Shelly A. Hansen, CNNP

Critical Care Neonatal Nurse Practitioner · St. Paul, MN

NPI number 1114983749 Active

Practice location

347 North Smith Ave, Childrens Specialty Clinic Nicu
St. Paul, MN 55102

Fax (651) 220-7777

Mailing address

2910 Centre Pointe Dr 35-121A, Childrens Health Care
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000XR1271278 (MN)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XR1271278 (MN)

Critical Care Neonatal Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1114983749

Shelly A. Hansen, CNNP's National Provider Identifier is 1114983749, issued on Apr 22, 2006. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.