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Individual

MS. SHELLY ANN TAUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,MS,PNP

Contact information

Practice address
2616 N MCDONALD ST, APPLETON, WI 54911-2247
(920) 903-0058
Mailing address
2616 N MCDONALD ST, APPLETON, WI 54911-2247
(920) 903-0058

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105658-30
WI

Other

Enumeration date
12/10/2013
Last updated
12/10/2013
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