Individual provider · Type 1 NPI

Shannon Alice Ladd, CNP

Nurse Practitioner · St. Louis Park, MN

NPI number 1982291209 Active

Practice location

5320 W 23rd St Ste 130
St. Louis Park, MN 55416-1670

Fax (952) 345-8771

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	14756 (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…

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About NPI 1982291209

Shannon Alice Ladd, CNP's National Provider Identifier is 1982291209, issued on Dec 22, 2020. 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 Sep 18, 2026.