Individual
MARILYN K SHUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 730-6700
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 730-6700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
333033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43810400
—
WI
Enumeration date
09/22/2005
Last updated
02/23/2010
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