Individual provider · Type 1 NPI

Shantelle Feragen

Gerontology Nurse Practitioner · Minneapolis, MN

NPI number 1922369115 Active

Practice location

800 E 28th St
Minneapolis, MN 55407-3723

Call (651) 635-9173 Map

Fax (651) 628-2999

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 1055 Westgate Dr, Suite 100, St. Paul, MN 55114-1065 · (612) 262-7800

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XR32006 (ND)
Gerontology Nurse Practitioner Primary 363LG0600XR192604-4 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1922369115

Shantelle Feragen's National Provider Identifier is 1922369115, issued on Jun 4, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 17, 2021.