Individual
MS. SHANNON M BIBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2594
(414) 805-5809
Mailing address
1336 PARK AVE, SOUTH MILWAUKEE, WI 53172-1133
(414) 940-0278
(414) 301-9508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
156515
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
156515
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588891097
—
WI
Enumeration date
06/11/2009
Last updated
12/01/2022
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