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Mrs. Shannon Lee Keidel, RN
Home Health Registered Nurse in Waterford, Wisconsin
NPI 1265493209

Shannon Lee Keidel is a Home Health Registered Nurse based in Waterford, WI and is specialized in Home Health. Shannon Lee Keidel practices in Waterford, WI and has the professional credentials of RN. The NPI Number for Shannon Lee Keidel is 1265493209 and holds a License No. (Wisconsin).

The current practice location address for Shannon Lee Keidel is 7420 E Wind Lake Rd, Waterford, WI and can be reached out via phone at 262-895-2692.

Location: 7420 E Wind Lake Rd, Waterford, WI, 53185-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265493209
Provider Name
Shannon Lee Keidel
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
7420 E Wind Lake Rd, Waterford, WI, 53185-1512
Phone Number
262-895-2692
Fax Number
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39862100 05 WI
institution
Provider Business Practice Location Address Details
Address
7420 E Wind Lake Rd
City
Waterford
State
Wisconsin
Zip
53185-1512
Phone Number
262-895-2692
Fax Number
person
Provider Business Mailing Address Details
Address
7420 E Wind Lake Rd
City
Waterford
State
Wisconsin
Zip
53185-1512
Phone Number
262-895-2692
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
(Wisconsin)
Definition
Definition to come...
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