Shook, Nancy Allen
Shook, Nancy Allen is an sole proprietor health care provider with primary practice located at 122 E Olin Ave Suite 100, Madison WI 53713-1487. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Shook, Nancy Allen can be contacted via phone (608) 265-9438.Contact Information
Primary practice address
122 E Olin Ave Suite 100
Madison WI 53713-1487
Phone: (608) 265-9438
Fax: (608) 263-4681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7167123 | Wisconsin |
| Nursing Service Providers / Registered Nurse | 163W00000X | 48973030 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 2366033 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 2366033 | Wisconsin |
Profile Details
| NPI number | 1679690895 |
|---|---|
| LBN Legal business name | Shook, Nancy Allen |
| Credentials | RN, LCSW, APNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Apr 15th, 2009 - about 16 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 | 1679690895 | NPPES |
| Wisconsin | MEDICAID | 41188400 |
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