Individual provider · Type 1 NPI

Lisa Renee Shields, APNP-BC; GNP; MAN;

Gerontology Nurse Practitioner · Minneapolis, MN

NPI number 1265699698 Active

Practice location

7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439

Call (952) 283-3162 Map

Fax (866) 991-7241

Other practice locations

  • 3410 East Schneider Avenue, East Suite 3, Menomonie, WI 54751 · (715) 233-3888

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X334 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265699698

Lisa Renee Shields, APNP-BC; GNP; MAN;'s National Provider Identifier is 1265699698, issued on May 22, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 11, 2019.