Individual
MRS. MICHELLE SHAHROURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
914 DEERWOOD CT, ONEIDA, WI 54155-8628
(920) 217-1393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5740-33
WI
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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