Individual
SHALANEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8109 W SCRANTON PL, MILWAUKEE, WI 53218-3547
(414) 801-2602
Mailing address
8109 W SCRANTON PL, MILWAUKEE, WI 53218-3547
(414) 801-2602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32574231
WI
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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