Individual
BROOKE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 342-5060
Mailing address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 342-5060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022854
NY
363A00000X
Physician Assistant
Primary
5659-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022854
NYS LICENSE NUMBER
NY
Enumeration date
10/23/2018
Last updated
01/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us