Individual
TABITHA M. SHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2000 E. LAYTON AVE., LAKESHORE MEDICAL CLINIC, ST. FRANCIS, WI 53235-6053
(414) 744-6589
(414) 747-8848
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108285-30
WI
363L00000X
Nurse Practitioner
Primary
2803
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014055
—
WI
Enumeration date
02/27/2007
Last updated
03/19/2026
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