Individual provider · Type 1 NPI

Shannon Noelle Plantenberg, NP

Nurse Practitioner · St. Louis Park, MN

NPI number 1891524435 Active

Practice location

3850 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 10981 4th St NE Ste 104, Hanover, MN 55341-4092 · (763) 733-1242

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X11992 (MN)
Adult Health Nurse Practitioner 363LA2200X0000000 (MN)
Nurse Practitioner Primary 363L00000X11992 (MN)
Gerontology Nurse Practitioner 363LG0600X11992 (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…

222 other providers at this address

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About NPI 1891524435

Shannon Noelle Plantenberg, NP's National Provider Identifier is 1891524435, issued on Jul 31, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 18, 2026.