Individual
SHAUNA K RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1010 35TH ST, KENOSHA, WI 53140-1902
(262) 725-4426
(262) 299-7136
Mailing address
1010 35TH ST, KENOSHA, WI 53140-1902
(262) 725-4426
(262) 299-7136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5813-33
WI
363LW0102X
Women's Health Nurse Practitioner
130336
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43956100
—
WI
Enumeration date
05/26/2006
Last updated
03/17/2025
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