Thomas, Shannon M

Thomas, Shannon M is an individual health care provider with primary practice located at N84W16889 Menomonee Ave , Menomonee Falls WI 53051-2810. 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. Thomas, Shannon M can be contacted via phone (262) 251-7500.

Contact Information

Primary practice address
N84W16889 Menomonee Ave Menomonee Falls WI 53051-2810
Phone: (262) 251-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6749 Wisconsin

Profile Details

NPI number 1437524725
LBN Legal business name Thomas, Shannon M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2015
Last updated Feb 22nd, 2023 - about last year

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 1437524725 NPPES
Wisconsin MEDICAID 100050612

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