Individual provider · Type 1 NPI

Shaye Sisneros, AGPCNP-BC

Gerontology Nurse Practitioner · St. Paul, MN

NPI number 1740996149 Active

Practice location

225 Smith Ave N Ste 400
St. Paul, MN 55102-2568

Fax (651) 241-2910

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 · (877) 564-3627

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X2494733 (MN)
Adult Health Nurse Practitioner 363LA2200X9215 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X9215 (MN)

Gerontology Nurse Practitioner: Definition to come...

72 other providers at this address

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About NPI 1740996149

Shaye Sisneros, AGPCNP-BC's National Provider Identifier is 1740996149, issued on Jan 30, 2023. 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 Oct 13, 2025.