ANGELICA SHANAHAN (NPI# 1639704166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639704166 |
Entity Type | Individual |
Full Name | ANGELICA SHANAHAN |
Credential | APNP |
Practice Address |
8733 W Watertown Plank Rd Milwaukee WI 53226-3548 |
Practice Telephone | 4142572424 |
Mailing Telephone | 4142572424 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
964333 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8733 W WATERTOWN PLANK RD |
City | MILWAUKEE |
State | WI |
Zip Code | 53226-3548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
Find all providers in zip 53226 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689192775 | Brigid Mary Costello | Nurse Practitioner | 9000 W Wisconsin Ave Ste 620, Milwaukee, WI 53226-4874 | 2017-09-08 |
1134389513 | Sharon Kay Schroeder | Nurse Practitioner | 9000 W Wisconsin Ave # Ms 782-a, Milwaukee, WI 53226-4874 | 2008-06-10 |
1689833634 | Elizabeth A Cleek | Nurse Practitioner | 999 N 92nd Street, Childrens Hospital of Wisconsin, Milwaukee, WI 53201-1997 | 2008-06-05 |
1770623589 | Cheryl Wendt | Nurse Practitioner | 1350 W North Ave, Milwaukee, WI 53205-1257 | 2007-02-08 |
1750460994 | Laura B. Rohowetz | Nurse Practitioner | 9000 W Wisconsin Ave # Ms 666, Milwaukee, WI 53226-4874 | 2006-11-06 |
1033203948 | Deborah Bretl | Nurse Practitioner | 999 N 92nd St Suite 615, Milwaukee, WI 53201 | 2006-10-03 |
1063420446 | Sara J Siedenburg | Nurse Practitioner | 3239 N 9th St, Milwaukee, WI 53206-3251 | 2006-08-03 |
1831140664 | Carlethia Harris | Nurse Practitioner | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2006-05-15 |
1528019361 | Carol G Klingbeil | Nurse Practitioner | Hospital Based @ Chw Hosp., 9000 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
1952352700 | Gloria J Mcgrath | Nurse Practitioner | 1834 W Wisconsin Ave Ste 100, Marquette Neighborhood Health Center, Milwaukee, WI 53233-2125 | 2006-05-15 |
Find all providers in MILWAUKEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.