Shawn Marie Anderson
Individual provider Active NPI Registered Nurse · Fitchburg, WI
NPI 1972820157 · NPPES record last updated Apr 27, 2010
Key facts
- NPI
- 1972820157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 154745030 (WI)
- Practice address
- 2654 Richardson St
Fitchburg, WI 53711-5431 - Phone
- (608) 751-4181
- NPI assigned
- Apr 27, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 154745030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 154745030 | WI | Yes |
Addresses
Primary practice location
2654 Richardson St
Fitchburg, WI 53711-5431
Mailing address
2654 Richardson St
Fitchburg, WI 53711-5431
Phone (608) 751-4181
Other providers in Fitchburg, WI
- Nicholas John Anders
- Fawn Ashley Rose Andersen
- Amy Marie Anderson
- Karen L Anderson
- Katie Elyse Anderson
- Ann E Stanger MD LLC
- Amanda Annear
- Kathleen Antony
- Jacquelynn D Arbuckle
- Ermias Addisu Asale
All providers in Fitchburg, WI · 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 Apr 27, 2010. 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.