Richardson, Shauna K

Richardson, Shauna K is an individual health care provider with primary practice located at 1114 56Th St , Kenosha WI 53140. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Richardson, Shauna K can be contacted via phone (262) 725-4426.

Contact Information

Primary practice address
1114 56Th St Kenosha WI 53140
Phone: (262) 725-4426
Fax: (262) 299-7136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 130336 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5813-33 Wisconsin

Profile Details

NPI number 1447206511
LBN Legal business name Richardson, Shauna K
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 20th, 2018 - about 8 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 1447206511 NPPES
Wisconsin MEDICAID 43956100

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