Individual
SHANNON CORINNE VILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
9706 STATE ROAD 19, MAZOMANIE, WI 53560-9764
(608) 515-6186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240014
WI
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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