Gladney, Shirley Temple

Gladney, Shirley Temple is an sole proprietor health care provider with primary practice located at 4676 N 70Th St , Milwaukee WI 53218-4847. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Community Health is her primary health care specialty. Gladney, Shirley Temple can be contacted via phone (414) 462-0802.

Contact Information

Primary practice address
4676 N 70Th St Milwaukee WI 53218-4847
Phone: (414) 462-0802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 91195-030 Wisconsin
Nursing Service Providers / Community Health 163WC1500X 91195-030 Wisconsin

Profile Details

NPI number 1598932527
LBN Legal business name Gladney, Shirley Temple
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2008
Last updated May 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598932527 NPPES
Wisconsin MEDICAID 39957200

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