Shannon Steiner

Individual provider Active NPI Licensed Practical Nurse · Webster, WI

NPI 1699195065 · NPPES record last updated Apr 23, 2014

Key facts

NPI
1699195065
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
316499-31 (WI)
Practice address
8757 Perida Rd
Webster, WI 54893-7422
Phone
(715) 866-7177
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
316499-31WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316499-31 WI Yes

Addresses

Primary practice location

8757 Perida Rd
Webster, WI 54893-7422

Mailing address

PO Box 245
Webster, WI 54893-0245

Other providers in Webster, WI

All providers in Webster, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.