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Individual

SHANNON ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
503 S MONROE AVE, GREEN BAY, WI 54301-4017
(920) 436-8881
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15394
WI

Other

Enumeration date
05/30/2024
Last updated
02/10/2026
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