Individual
SHANNON LEA RAIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 HALE ST, WISCONSIN RAPIDS, WI 54495-2787
(715) 424-4682
Mailing address
2831 COUNTY ROAD C, STEVENS POINT, WI 54481-9519
(715) 432-2338
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
234174-30
WI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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