Individual
MRS. SHANNON LEE PLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 884-5460
(920) 884-5475
Mailing address
2793 LINEVILLE RD, GREEN BAY, WI 54313-7152
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143070-30
WI
363L00000X
Nurse Practitioner
Primary
6799-33
WI
Other
Enumeration date
02/10/2016
Last updated
04/14/2020
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