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Shannon M Fogarty, NP
Nurse Practitioner in Wauwatosa, Wisconsin
NPI 1508801622

Shannon M Fogarty is a Nurse Practitioner based in Wauwatosa, WI. Shannon M Fogarty practices in Wauwatosa, WI and has the professional credentials of NP. The NPI Number for Shannon M Fogarty is 1508801622 and holds a License No. 1545-033 (Wisconsin).

The current practice location address for Shannon M Fogarty is 1055 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-479-2300.

Location: 1055 N Mayfair Rd, Wauwatosa, WI, 53226-3436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508801622
Provider Name
Shannon M Fogarty
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1055 N Mayfair Rd, Wauwatosa, WI, 53226-3436
Phone Number
414-479-2300
Fax Number
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500014946 01 WI MEDICARE RAILROAD
43917700 05 WI
institution
Provider Business Practice Location Address Details
Address
1055 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226
Phone Number
414-479-2300
Fax Number
person
Provider Business Mailing Address Details
Address
1055 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226
Phone Number
414-479-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1545-033 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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