Individual
MISS SHANNON KATHLEEN OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4405 HONEYSUCKLE CT, OSHKOSH, WI 54904-9348
(920) 252-0373
Mailing address
4405 HONEYSUCKLE CT, OSHKOSH, WI 54904-9348
(920) 252-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173508030
WI
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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