Healthcare Provider Details

I. General information

NPI: 1619882719
Provider Name (Legal Business Name): SHAUNA CORRIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 CENTRACARE CIR
SAINT CLOUD MN
56303-5000
US

IV. Provider business mailing address

9240 DUELM RD NE
SAUK RAPIDS MN
56379-4628
US

V. Phone/Fax

Practice location:
  • Phone: 320-229-4922
  • Fax: 320-229-5183
Mailing address:
  • Phone: 320-828-3184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: