Shutte, Marilyn K

Shutte, Marilyn K is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. 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. Shutte, Marilyn K can be contacted via phone (920) 730-6700.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Phone: (920) 730-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 333033 Wisconsin

Profile Details

NPI number 1104812445
LBN Legal business name Shutte, Marilyn K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 23rd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104812445 NPPES
Wisconsin MEDICAID 43810400

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