Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY SHACKELFORD
ActiveAMY SHACKELFORD is a Health Educator healthcare provider located in KENOSHA, Wisconsin. NPI 1649609165 is currently active in the NPPES registry. Verify at CMS.
Health Educator · KENOSHA, WI
Registration Details
- NPI Number
- 1649609165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2013 (12.813450746958 yrs)
- Last Updated
- Nov 5, 2013
- License
-
1570-19 (WI)
Practice Information
- Address
-
1703 60TH STKENOSHA, WI, 531403986Browse WI providers · Browse ZIP 53140
- Phone
- 2626584125
- Primary Specialty
-
Health Educator
174H00000X
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.