Individual
SHANNON AMBER CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
716 FULTON ST APT 6, WAUSAU, WI 54403-4988
(715) 297-8481
Mailing address
716 FULTON ST APT 6, WAUSAU, WI 54403-4988
(715) 297-8481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194795-30
WI
164W00000X
Licensed Practical Nurse
315250-31
WI
Other
Enumeration date
02/10/2012
Last updated
04/02/2013
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