LYNNAE SHAW RN BSN NCSN
NPI 1417889270
Registered Nurse - School in Waupun, WI
Active since June 03, 2026
About Lynnae Shaw Rn Bsn Ncsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNNAE SHAW RN BSN NCSN (NPI 1417889270) is an individual school provider in Waupun, Wisconsin, licensed in Wisconsin (132102-30) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1417889270
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameLYNNAE SHAWCredential: RN BSN NCSN
Location Address801 E LINCOLN STWaupun, WI 53963-1753
Mailing Address801 E Lincoln StWaupun, WI 53963-1753 · (920) 324-5591 · Fax (920) 939-7674
Phone(920) 324-5591
Fax(920) 939-7674
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1417889270 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in WI · 132102-30
801 E LINCOLN ST, Waupun, WI 53963
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417889270, enumerated as an "individual" on June 03, 2026.
The provider is located at 801 E LINCOLN ST WAUPUN, WI 53963 and the phone number is (920) 324-5591.
Registered Nurse with taxonomy code 163WS0200X and a focus in School.
