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NPI Code Detail

MEDICARE: MS. ANNE E LAWALL-SHANE MSN, APNP, ANP-BC

MEDICARE: MS. ANNE E LAWALL-SHANE MSN, APNP, ANP-BC
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
1363LA2200XAdult Health Nurse Practitioner3801-033WI

General Provider Information

NPI Number : 1558594184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNE E LAWALL-SHANE MSN, APNP, ANP-BC
Provider Business Mailing Address
First Line : 342 N WATER ST STE 600
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5715
Country : US
Telephone Number : 651-342-1039
Fax Number : 651-342-1428
Provider Business Practice Location Address
First Line : 342 N WATER ST STE 600
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-5715
Country : US
Telephone Number : 651-342-1039
Fax Number : 651-342-1428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2009
Last Update Date : 05/01/2025

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