Individual
MRS. HOLLY SHANNON SARA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
49 N. MADISON AVENUE UNIT 201, STURGEON BAY, WI 54235-8934
(920) 743-4545
Mailing address
49 N. MADISON AVENUE UNIT 201, STURGEON BAY, WI 54235-8934
(920) 743-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98358-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391-211-4200
—
WI
Enumeration date
05/21/2007
Last updated
05/04/2017
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