Individual provider · Type 1 NPI

Shannon Marie Ristau

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1881764876 Active

Practice location

2115 Summit Ave, Loras Hall 406
St. Paul, MN 55105-1048

Call (503) 396-2896 Map

Mailing address

1776 Saint Clair Ave, Apt #407
St. Paul, MN 55105-1962

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881764876

Shannon Marie Ristau's National Provider Identifier is 1881764876, issued on Nov 8, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 25, 2026.