Individual
MS. SHELLY JEAN VAN NOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
600 HIGHLAND AVE, UNIVERSITY OF WISCONSIN HOSPITAL & CLINICS F61 331 530, MADISON, WI 53792
(608) 263-1290
(608) 263-9424
Mailing address
18 ARIAL CIRCLE, MADISON, WI 53719
(608) 263-8475
(608) 263-8027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12193040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043115
MISSOURI PHARMACY BOARD
MO
01
—
12193040
WI BOARD OF PHARMACY
WI
01
—
17800
IOWA PHARMACY BOARD
IA
Enumeration date
01/25/2007
Last updated
07/08/2007
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