Individual
MS. MEG SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 955-6980
(414) 955-6204
Mailing address
9200 W WISCONSIN AVE, CARDIOTHORACIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 955-6980
(414) 955-6204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
77437
WI
363LA2200X
Adult Health Nurse Practitioner
77437
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000226K
HUMANA
—
05
—
1427000280
—
WI
Enumeration date
05/17/2006
Last updated
10/01/2014
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