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Individual

SHARON L FELLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC WHNP

Contact information

Practice address
3123 SHORE DR STE 201, WOMANS SPECIALTY CARE, MARINETTE, WI 54143-4290
(715) 735-6263
(715) 735-5692
Mailing address
3123 SHORE DR STE 201, WOMANS SPECIALTY CARE, MARINETTE, WI 54143-4290
(715) 735-6263
(715) 735-5692

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4707086166
MI
363L00000X
Nurse Practitioner
Primary
83033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43939800
WI
01
500018073-WI
RR - MEDICARE
01
83033
LICENSE
WI
01
ON42190
MEDICAID
MI
Enumeration date
10/06/2005
Last updated
10/25/2011
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