SHELLY JOAN MYROM CNP
NPI 1508884917
Nurse Practitioner in Faribault, MN

Q: What is Shelly Myrom's NPI number?

The NPI number for Shelly Myrom is 1508884917. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Shelly Joan Myrom.

Q: What is Shelly Myrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Myrom was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2006

300 STATE AVE, FARIBAULT, MN 55021(507) 333-3300(507) 333-3214 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shelly Joan Myrom Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY JOAN MYROM CNP (NPI 1508884917) is an individual nurse practitioner in Faribault, Minnesota, licensed in Minnesota (1378) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508884917

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHELLY JOAN MYROMCredential: CNP

Location Address300 STATE AVEFaribault, MN 55021

Mailing Address300 State AveFaribault, MN 55021-6319 · (507) 333-3300 · Fax (507) 333-3214

Phone(507) 333-3300

Fax(507) 333-3214

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1508884917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MN · 1378✔ Licensed in MN · R0848026

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

300 STATE AVE, Faribault, MN 55021

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Other Names 1

Former Name (1)Shelly Joan Myrom

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYSOON AYUOB

Family Medicine