Shalaney Anderson

Individual provider Active NPI Licensed Practical Nurse · Milwaukee, WI

NPI 1851069678 · NPPES record last updated Sep 6, 2021

Key facts

NPI
1851069678
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
32574231 (WI)
Practice address
8109 W Scranton PL
Milwaukee, WI 53218-3547
Phone
(414) 801-2602
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
32574231WIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Women in Need Current
since Sep 12, 2021
Accepting new patients
Davem Home Care Current
since Sep 12, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 32574231 WI Yes

Addresses

Primary practice location

8109 W Scranton PL
Milwaukee, WI 53218-3547

Mailing address

8109 W Scranton PL
Milwaukee, WI 53218-3547
Phone (414) 801-2602

Other providers in Milwaukee, WI

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

Sources for this page

Verify at the official NPI Registry.