Provider Demographics
NPI:1306593710
Name:LA CHAPELLE, SHIRLYNN MC NEIL (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:SHIRLYNN
Middle Name:MC NEIL
Last Name:LA CHAPELLE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 W 84TH ST STE 370
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1377
Mailing Address - Country:US
Mailing Address - Phone:952-395-5222
Mailing Address - Fax:
Practice Address - Street 1:5270 W 84TH ST STE 370
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-1377
Practice Address - Country:US
Practice Address - Phone:952-395-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-05
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8990163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health