Mary Shannon-Myer

NPI 1548302276 · on the registry since 2007

Practice

Address: 3300 County Road 10
#400
Brooklyn Center, MN 55429
Phone: (612) 596-0800
Organisation at this address: Deende Llc
Omocare Llc
Divine Legacy
Advocare, Llc
Cedar House Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota