Xiong-Mdshahrin, Bao

Xiong-Mdshahrin, Bao is an individual health care provider with primary practice located at 14555 W National Ave , New Berlin WI 53151-4494. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Xiong-Mdshahrin, Bao can be contacted via phone (708) 550-6604.

Contact Information

Primary practice address
14555 W National Ave New Berlin WI 53151-4494
Phone: (708) 550-6604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1052033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1052033 Wisconsin

Profile Details

NPI number 1316522303
LBN Legal business name Xiong-Mdshahrin, Bao
Credentials DNP, APNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2021
Last updated Aug 25th, 2026 - about 3 months 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 1316522303 NPPES
Wisconsin MEDICAID 100161579

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