Individual
SHANIKA J WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 N 17TH ST, MILWAUKEE, WI 53206-2132
(414) 306-3793
Mailing address
2817 N 17TH ST, MILWAUKEE, WI 53206-2132
(414) 306-3793
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
WI
253Z00000X
In Home Supportive Care Agency
—
WI
261QM0850X
Adult Mental Health Clinic/Center
—
WI
311ZA0620X
Adult Care Home Facility
—
WI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
WI
347C00000X
Private Vehicle
—
WI
372500000X
Chore Provider
—
WI
374U00000X
Home Health Aide
Primary
0017839
WI
374U00000X
Home Health Aide
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815272179
—
WI
Enumeration date
12/26/2019
Last updated
03/24/2026
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