Healthcare Provider Details

I. General information

NPI: 1548172638
Provider Name (Legal Business Name): SHAYLYNN ANN AYLWARD MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W NATIONAL AVE
MILWAUKEE WI
53295-0001
US

IV. Provider business mailing address

4176 LARK RD
DENMARK WI
54208-8682
US

V. Phone/Fax

Practice location:
  • Phone: 888-469-6614
  • Fax:
Mailing address:
  • Phone: 920-431-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number163705-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: