Shelby Lynn Spence, RN
Individual provider Active NPI Home Health Registered Nurse · Cochrane, WI
NPI 1659926699 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1659926699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 233786-30 (WI)
- Practice address
- 107 Wisconsin Ave
Cochrane, WI 54622-7311 - Phone
- (715) 497-5222
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233786-30 | WI | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 233786-30 | WI | Yes |
Addresses
Primary practice location
107 Wisconsin Ave
Cochrane, WI 54622-7311
Mailing address
611 W Broadway St
Winona, MN 55987-2725
Phone (507) 429-7078
Other providers in Cochrane, WI
- Desiree Michele Mork
- Roland W Pardun
- Jamie Lee Pronschinske
- Roland W Pardun DDS SC
- Scenic Valley Emergency Medical Services Incorporated
- The Lutheran Home Cochrane
All providers in Cochrane, WI · Home Health Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.