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

SHANNON GAINES

Active Sole Proprietor

SHANNON GAINES is a Wound Care Nurse healthcare provider located in SALEM, Wisconsin. NPI 1780414060 is currently active in the NPPES registry. Verify at CMS.

Wound Care Nurse · SALEM, WI

Registration Details

NPI Number
1780414060
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2024 (2.0586385019519 yrs)
Last Updated
Aug 2, 2024
Licenses
041.527344 (IL)
234239-30 (WI)
Sole Proprietor
Yes

Practice Information

Address
23323 87TH ST
SALEM, WI, 531689437
Browse WI providers · Browse ZIP 53168
Phone
2629770070
Primary Specialty
Wound Care Nurse
163WW0000X
Additional Specialty
Wound Care Nurse
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.