Individual
JULIANA M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
7080 N PORT WASHINGTON ROAD, GLENDALE, WI 53217
(414) 351-4009
(414) 351-7060
Mailing address
7080 N PORT WASHINGTON ROAD, GLENDALE, WI 53217
(414) 351-4009
(414) 351-7060
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
6715-33
WI
363LP2300X
Primary Care Nurse Practitioner
6715 - 33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407211287
—
WI
Enumeration date
12/22/2015
Last updated
04/21/2026
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