Individual
ELISSA SHULTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(414) 840-0325
Mailing address
1130 S 101ST ST, WEST ALLIS, WI 53214-2510
(414) 840-0325
Taxonomy
Speciality
Code
Description
License number
State
364SX0204X
Pediatric Oncology Clinical Nurse Specialist
Primary
229463
WI
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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