Shonta Shalonda Anderson LPN

NPI 1417182726 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1417182726
Gender Female
Enumeration Date 05/17/2009
Last Updated 05/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6817 N 41ST ST
MILWAUKEE WI, 53209-2202, US
Phone (414) 322-9190
Fax
Business Location
6817 N 41ST ST
MILWAUKEE WI, 53209-2202, US
Phone (414) 322-9190
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 304283-031
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According to our database, Shonta Shalonda Anderson LPN NPI is 1417182726, taxonomy code is 164W00000X and license number is 304283-031, license state is located at Wisconsin. Shonta Shalonda Anderson LPN physically located at 6817 N 41st St, Milwaukee WI, 53209-2202. NPI Number Shonta Shalonda Anderson LPN has the Individual type.

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1417182726 NPI number is provided on an as is basis without warranty of any kind. 1417182726 is maintained by the National Plan & Provider Enumeration System. The contents of Shonta Shalonda Anderson LPN are for informational purposes only.