Individual provider · Type 1 NPI

Shannon M. Kelly-Schug, G.N.P.

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1891779567 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR120875-9 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1891779567

Shannon M. Kelly-Schug, G.N.P.'s National Provider Identifier is 1891779567, issued on Dec 6, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 13, 2013.