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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON LANE, NP

Active Sole Proprietor

Gerontological Nurse Practitioner · APPLETON, WI

Registration Details

NPI Number
1386428811
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2023 (2.6577996934133 yrs)
Last Updated
Feb 24, 2026
License
13535-33 (WI)
Sole Proprietor
Yes

Practice Information

Address
2807 N BALLARD RD
APPLETON, WI, 549118701
Browse WI providers · Browse ZIP 54911
Phone
9205128822
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in APPLETON, WI

Name Credential NPI
MRS. MICHELLE M HERMES RN, BSN 1396049649
PATRICIA ANN ANGELUCCI NP 1134465636
MRS. KRYSTAL ALANNA SCHEPP AGNP 1427477868
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.