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NPI Code Detail

MEDICARE: SHANNON MCCAULEY

MEDICARE: SHANNON MCCAULEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse248771-30WI

General Provider Information

NPI Number : 1508793498
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MCCAULEY
Provider Business Mailing Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 608-280-7072
Fax Number : 608-280-7008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ SHANNON MCCAULEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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