SHANA MCCLONE
NPI 1295144608
Clinical Nurse Specialist - Adult Health in Cudahy, WI
Active since August 11, 2014
About Shana Mcclone NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANA MCCLONE (NPI 1295144608) is an individual adult health provider in Cudahy, Wisconsin, licensed in Wisconsin (5677-33) and active in the NPI registry since August 2014.
NPPES Registry Identity
NPI1295144608
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameSHANA MCCLONE
Location Address5900 S LAKE DRCudahy, WI 53110-3171
Mailing Address8545 S Apple Creek DrOak Creek, WI 53154-2633 · (414) 489-4048 · Fax (414) 489-4153
Phone(414) 489-4048
Fax(414) 489-4153
Sole ProprietorYes
Enumeration DateAugust 11, 2014
✔ NPI 1295144608 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in WI · 5677-33
5900 S LAKE DR, Cudahy, WI 53110
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pathology (Anatomic Pathology & Clinical Pathology)
5900 S LAKE DR
CUDAHY, WI 53110
CUDAHY, WI 53110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295144608, enumerated as an "individual" on August 11, 2014.
The provider is located at 5900 S LAKE DR CUDAHY, WI 53110 and the phone number is (414) 489-4048.
Clinical Nurse Specialist with taxonomy code 364SA2200X and a focus in Adult Health.