Provider Demographics
NPI:1467239863
Name:REIMERS, SHELBY TAYLOR (CNM, ARNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:TAYLOR
Last Name:REIMERS
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 40TH ST N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-3202
Mailing Address - Country:US
Mailing Address - Phone:320-291-8296
Mailing Address - Fax:
Practice Address - Street 1:9825 HOSPITAL DR STE 205
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-4480
Practice Address - Country:US
Practice Address - Phone:763-587-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN634367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife