Individual provider · Type 1 NPI

Shannon Marie Patchen, CNP

Nurse Practitioner · Fridley, MN

NPI number 1679125157 Active

Practice location

7590 Lyric Ln NE
Fridley, MN 55432-3251

Mailing address

2925 Chicago Avenue
Minneapolis, MN 55407-1321

Other practice locations

  • 7590 Lyric Ln NE, Fridley, MN 55432-3251 · (763) 236-4300

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X6452 (MN)
Nurse Practitioner Primary 363L00000X6452 (MN)

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 1679125157

Shannon Marie Patchen, CNP's National Provider Identifier is 1679125157, issued on Jul 15, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fridley, MN. The record was last updated on Oct 14, 2019.