Individual provider · Type 1 NPI

Shannon Whaley, CNP

Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN

NPI number 1780026419 Active

Practice location

895 7th St E
St. Paul, MN 55106-3871

Fax (651) 222-1305

Other practice locations

  • 1900 Silver Lake Rd NW, Suite 110, New Brighton, MN 55112-1786 · (651) 628-9566

Specialties and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist 364S00000XR1740327 (MN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X655 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1780026419

Shannon Whaley, CNP's National Provider Identifier is 1780026419, issued on Jul 23, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Mar 1, 2023.