Shannon Gaines, | |
23323 87th St, Salem, WI 53168-9437 | |
(262) 977-0070 | |
Not Available |
Full Name | Shannon Gaines |
---|---|
Gender | Female |
Speciality | Registered Nurse - Wound Care |
Location | 23323 87th St, Salem, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780414060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WW0000X | Registered Nurse - Wound Care | 041.527344 (Illinois) | Secondary |
163WW0000X | Registered Nurse - Wound Care | 234239-30 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shannon Gaines, 23323 87th St, Salem, WI 53168-9437 Ph: () - | Shannon Gaines, 23323 87th St, Salem, WI 53168-9437 Ph: (262) 977-0070 |
Lisa Marie Looney, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5104 294th Ave., Salem, WI 53168 Phone: 262-994-3094 | |
Ms. Linda Ann Schlichting, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6610 238th Ave, Salem, WI 53168 Phone: 262-909-7123 Fax: 262-997-4764 |