Individual provider · Type 1 NPI

Shannon Marie Mooney, CNP

Gerontology Nurse Practitioner · St. Paul, MN

NPI number 1508397290 Active

Practice location

45 10th St W
St. Paul, MN 55102-1062

Mailing address

396 Linda Ave
Lino Lakes, MN 55014-6404

Other practice locations

  • 3433 Broadway St NE Ste 300, Minneapolis, MN 55413-1761 · (763) 587-7737

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XCNP 5045 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1508397290

Shannon Marie Mooney, CNP's National Provider Identifier is 1508397290, issued on Mar 23, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Paul, MN. The record was last updated on Sep 16, 2019.