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NPI Code Detail

MEDICARE: SHELBY ADAMSON

MEDICARE: SHELBY ADAMSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0100XGastroenterology Registered Nurse2458322MN

General Provider Information

NPI Number : 1427991249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY ADAMSON
Provider Business Mailing Address
First Line : 3001 BROADWAY ST NE STE 500
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-2197
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 BROADWAY ST NE STE 500
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-2197
Country : US
Telephone Number : 612-871-1145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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