Individual provider · Type 1 NPI

Shannon Marie Pridgeon, APRN - NP

Nurse Practitioner · Milwaukee, WI

NPI number 1124936471 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Call (414) 955-7040 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1820633 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124936471

Shannon Marie Pridgeon, APRN - NP's National Provider Identifier is 1124936471, issued on Aug 28, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 2, 2026.