Individual provider · Type 1 NPI

Shannon Lee Keidel, R.N.

Home Health Registered Nurse · Waterford, WI

NPI number 1265493209 Active

Practice location

7420 E Wind Lake Rd
Waterford, WI 53185-1512

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200XNone listed

Home Health Registered Nurse: Definition to come...

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About NPI 1265493209

Shannon Lee Keidel, R.N.'s National Provider Identifier is 1265493209, issued on Mar 29, 2006. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Waterford, WI. The record was last updated on Jul 13, 2026.