Individual provider · Type 1 NPI

Shannon Trevino, APRN, AGNP-C

Nurse Practitioner · Eagan, MN

NPI number 1407112055 Active · reactivated Aug 29, 2018

Practice location

PO Box 211699
Eagan, MN 55121-3699

Call (866) 849-0692 Map

Fax (888) 973-8821

Other practice locations

  • 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 · (866) 849-0692

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X183243 (CO)
Nurse Practitioner 363L00000XAPRN11022196 (FL)
Nurse Practitioner 363L00000X90726 (NM)
Nurse Practitioner 363L00000X343801 (AZ)
Nurse Practitioner Primary 363L00000X0994056 (CO)
Registered Nurse 163W00000X760780 (CA)
Nurse Practitioner 363L00000X1139739 (TX)
Nurse Practitioner 363L00000X10026914 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407112055

Shannon Trevino, APRN, AGNP-C's National Provider Identifier is 1407112055, issued on Apr 9, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eagan, MN. The record was last updated on Aug 7, 2026.