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Individual

MS. PATRICIA SHAMBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3995
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3995

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-23435
IL
163WM0102X
Maternal Newborn Registered Nurse
041361022
IL
163WM0102X
Maternal Newborn Registered Nurse
179080
WI

Other

Enumeration date
06/14/2012
Last updated
04/07/2017
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