Individual
SHANA MCCLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4048
(414) 489-4153
Mailing address
8545 S APPLE CREEK DR, OAK CREEK, WI 53154-2633
(414) 489-4048
(414) 489-4153
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
5677-33
WI
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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