Individual
SHAINA MARIE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
835 S VANBUREN ST, GREEN BAY, WI 54301
(920) 884-5460
(920) 884-5475
Mailing address
835 S VANBUREN ST, GREEN BAY, WI 54301
(920) 884-5460
(920) 884-5475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177820-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9036-33
WI
Other
Enumeration date
01/25/2019
Last updated
02/05/2019
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