Individual
JULIE ANN SHINSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6406 10TH AVE, KENOSHA, WI 53143-5004
(262) 909-8507
Mailing address
6406 10TH AVE, KENOSHA, WI 53143-5004
(262) 909-8507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38285400
—
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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