Individual provider · Type 1 NPI

Shannon Gresham

Licensed Practical Nurse · Green Bay, WI

NPI number 1306569249 Active

Practice location

2357 W Mason St
Green Bay, WI 54303-4708

Call (192) 026-5570 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X320921-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

56 other providers at this address

Other licensed practical nurse providers in Green Bay

See all in Green Bay →

About NPI 1306569249

Shannon Gresham's National Provider Identifier is 1306569249, issued on Sep 26, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 26, 2022.