Johnson, Shelley L
Johnson, Shelley L is an individual health care provider with primary practice located at 9697 Saint Catherines Dr # 300 , Pleasant Prairie WI 53158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Shelley L can be contacted via phone (262) 577-8320.Contact Information
Primary practice address
9697 Saint Catherines Dr # 300
Pleasant Prairie WI 53158
Phone: (262) 577-8320
Fax: (262) 577-8321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3976 | Wisconsin |
Profile Details
| NPI number | 1750603130 |
|---|---|
| LBN Legal business name | Johnson, Shelley L |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2010 |
| Last updated | May 31st, 2018 - about 6 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750603130 | NPPES |
| Wisconsin | Other | K400194647 | MEDICARE( FROEDTERT SOUTH) |
| Wisconsin | MEDICAID | 1750603130 | MEDICARE( FROEDTERT SOUTH) |
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