Individual
BAO XIONG-MDSHAHRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-BC
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1052033
WI
363LF0000X
Family Nurse Practitioner
1052033
WI
Other
Enumeration date
03/11/2021
Last updated
06/26/2023
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