Individual
STEPHANIE SHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 955-0231
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15649
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821896564
—
WI
Enumeration date
03/07/2025
Last updated
04/10/2025
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