SALLY SHOLL R.N.
NPI 1679631675
Registered Nurse - General Practice in Verona, WI
Active since December 04, 2006
About Sally Sholl R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY SHOLL R.N. (NPI 1679631675) is an individual general practice provider in Verona, Wisconsin, licensed in Wisconsin (59130-030) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1679631675
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameSALLY SHOLLCredential: R.N.
Location Address717 SPRUCE STVerona, WI 53593-1644
Mailing Address717 Spruce StVerona, WI 53593-1644
Phone(608) 576-9701
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 11, 2009
✔ NPI 1679631675 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in WI · 59130-030
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 59130-030 (WI)
717 SPRUCE ST, Verona, WI 53593
Other Names 1
Former Name (1)Sally Semlak R.n.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679631675, enumerated as an "individual" on December 04, 2006.
The provider is located at 717 SPRUCE ST VERONA, WI 53593 and the phone number is (608) 576-9701.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
