Gresham, Shannon

Gresham, Shannon is an individual health care provider with primary practice located at 2357 W Mason St , Green Bay WI 54303-4708. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gresham, Shannon can be contacted via phone (192) 026-5570.

Contact Information

Primary practice address
2357 W Mason St Green Bay WI 54303-4708
Phone: (192) 026-5570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 320921-31 Wisconsin

Profile Details

NPI number 1306569249
LBN Legal business name Gresham, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2022
Last updated Sep 26th, 2022 - about 3 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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