Individual
MARCIA A. SHEFCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1196 ELMORE ST, GREEN BAY, WI 54303-4033
(920) 494-5179
Mailing address
1196 ELMORE ST, GREEN BAY, WI 54303-4033
(920) 494-5179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35017400
—
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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