Provider Demographics
NPI:1417922584
Name:JARCHO, SHIRLEY J (APRN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:J
Last Name:JARCHO
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6565 FRANCE AVE SOUTH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-927-4045
Mailing Address - Fax:952-927-0867
Practice Address - Street 1:6565 FRANCE AVE SOUTH
Practice Address - Street 2:SUITE 300
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-927-4045
Practice Address - Fax:952-927-0867
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1022650363LX0001X
MN102265-0363LX0001X
MNR102265-0363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN401R8JAOtherBCBS MN
HP40541OtherHEALTHPARTNERS OF MN