SHANNON GREAVES FNP NPI 1154887214

NPI Information

NPI: 1154887214
Provider Name: SHANNON GREAVES, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1185 TOWN CENTRE DR STE 145
EAGAN, MN
ZIP 55123
Phone: (651) 797-6880
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Shannon Greaves, FNP is a family nurse practitioner in Eagan, MN with 6 years of experience. Shannon Greaves, FNP NPI is 1154887214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1185 TOWN CENTRE DR STE 145
EAGAN, MN
ZIP 55123-188
Phone: (651) 797-6880
Fax: (651) 797-6881

The NPI 1154887214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2019 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	21994	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	6619	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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