Individual
MS. SHIRLEY A MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615 W MORELAND BLVD, WAUKESHA, WI 53188
(262) 896-8430
(262) 970-6670
Mailing address
615 W MORELAND BLVD, WAUKESHA, WI 53188
(262) 896-8430
(262) 970-6670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52836030
WI
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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