Individual
MS. SHANNON ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
1280 LAKEVIEW DR, GREEN BAY, WI 54313-8824
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2038-19
WI
363L00000X
Nurse Practitioner
Primary
11551-33
WI
Other
Enumeration date
03/17/2014
Last updated
03/07/2022
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