MOLLY JILL SHAND


Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: 6126726000

MOLLY JILL SHAND (NPI# 1174007504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174007504
Entity Type Individual
Full Name MOLLY JILL SHAND
Credential CNP
Practice Address 2450 Riverside Ave
Minneapolis
MN 55454-1450
Mailing Address 9851 Harrison Rd Apt 308
Bloomington
MN 55437-2179
Practice Telephone 6126726000
Mailing Telephone 6127107587
Enumeration Date 2018-09-21
Last Update Date 2019-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal 		6291 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6401 France Ave S, Edina, MN 554352104 9529245000

Office Location

Street Address 2450 RIVERSIDE AVE
City MINNEAPOLIS
State MN
Zip Code 55454-1450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568462570 Sreejaya Veluvali Psychiatry & Neurology 2450 Riverside Ave, Minneapolis, MN 55454-1450 2005-08-01
1588265375 Fairview Health Services General Acute Care Hospital 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-11-06
1215535927 Katrina Joelle Christian Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 2020-10-14
1023616208 Jodi Renee Nelson Psychologist 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-11
1912504150 Pamela Norling Counselor 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1225635345 Trevor Ryan Goldsmith Nurse Anesthetist, Certified Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-10-01
1215534342 Michelle L White Marriage & Family Therapist 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 2020-10-01
1295341048 Tobias Zander Donlon Student in an Organized Health Care Education/Training Program 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-17
1417562497 Megan Farr Dietitian, Registered 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-09-15
1871101238 Fairview Express Care General Practice 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
Find all providers in zip 55454

Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528678133 Kathy Daniella Lopez Vasquez Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-08-07
1558970376 Corin Mauldin Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-07-28
1912525197 Devon Ratliff-crain Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-07-14
1891313862 Kelli Dawn Guth Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-07-07
1225663768 Amanda Elizabeth Olsen Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-03-05
1538713201 Erin Michelle Miller Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2019-07-30
1538712120 Katie Ann Barber Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2019-07-23
1790296606 Magdalene Broberg Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2017-10-18
1184162349 Paul Duray Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2017-02-08
1952858136 Ellen Stoll Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2016-09-06
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55454

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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