Mullins, Shannon Rae

Mullins, Shannon Rae is an individual health care provider with primary practice located at 2254 Imperial Ln , Green Bay WI 54302. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mullins, Shannon Rae can be contacted via phone (715) 661-2206.

Contact Information

Primary practice address
2254 Imperial Ln Green Bay WI 54302
Phone: (715) 661-2206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 176886 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 176886 Wisconsin

Profile Details

NPI number 1891181459
LBN Legal business name Mullins, Shannon Rae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Apr 15th, 2015 - about 11 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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