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Contact Information

SHARI L LANDREVILLE
2945 HAZELWOOD ST STE 100
MAPLEWOOD, MN55109-1242
 Phone: 651-471-9400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHARI L LANDREVILLE · (Female)

NPI Number 1689310294
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2022
Last updated 04/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11386
  • NM License # 67925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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