Basic Information
Provider Information
NPI: 1134647225
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHUNESON
FirstName: APRIL
MiddleName: MARIE
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 HEWITT BLVD
Address2:  
City: RED WING
State: MN
PostalCode: 550662848
CountryCode: US
TelephoneNumber: 6512675000
FaxNumber:  
Practice Location
Address1: 701 HEWITT BLVD
Address2:  
City: RED WING
State: MN
PostalCode: 550662848
CountryCode: US
TelephoneNumber: 6512675000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/08/2017
LastUpdateDate: 09/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X  N Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000X351MNN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
176B00000X351MNY Other Service ProvidersMidwife 

No ID Information.


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