SHANNON GAINES
NPI 1780414060
Registered Nurse - Wound Care in Salem, WI
Active since August 02, 2024
About Shannon Gaines NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON GAINES (NPI 1780414060) is an individual wound care provider in Salem, Wisconsin, licensed in Wisconsin (234239-30) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1780414060
Entity TypeIndividualFemale
Primary Taxonomy163WW0000X
Provider Legal NameSHANNON GAINES
Location Address23323 87TH STSalem, WI 53168-9437
Mailing Address23323 87th StSalem, WI 53168-9437
Phone(262) 977-0070
Sole ProprietorYes
Enumeration DateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1780414060 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Licenses✔ Licensed in WI · 234239-30✔ Licensed in IL · 041.527344
23323 87TH ST, Salem, WI 53168
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780414060, enumerated as an "individual" on August 02, 2024.
The provider is located at 23323 87TH ST SALEM, WI 53168 and the phone number is (262) 977-0070.
Registered Nurse with taxonomy code 163WW0000X and a focus in Wound Care.
