Individual provider · Type 1 NPI

Mary Grace Shanabarger, APNP, AGPCNP-BC

Nurse Practitioner · Milwaukee, WI

NPI number 1255148656 Active

Practice location

788 N Jefferson St Ste 300
Milwaukee, WI 53202-3710

Call (414) 272-8950 Map

Mailing address

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106

Other practice locations

  • N16W24131 Riverwood Dr, Waukesha, WI 53188-1106 · (262) 696-0808
  • N16W24131 Riverwood Dr, Waukesha, WI 53188-1106 · (262) 366-7437

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X256531-30 (WI)
Gerontology Nurse Practitioner 363LG0600X16303-33 (WI)
Nurse Practitioner Primary 363L00000X16303 (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…

2 other providers at this address

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About NPI 1255148656

Mary Grace Shanabarger, APNP, AGPCNP-BC's National Provider Identifier is 1255148656, issued on Dec 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 20, 2025.