Individual
MS. SHIRLEY ETHEL PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7939
Mailing address
1908 N RACINE ST, APPLETON, WI 54911-3468
(920) 731-4065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51256
WI
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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