Individual
DENISE SHILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 GOFF AVE, EAU CLAIRE, WI 54701-4645
(715) 456-6971
Mailing address
1826 GOFF AVE, EAU CLAIRE, WI 54701-4645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30542-31
WI
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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