Individual provider · Type 1 NPI
Jeffrey Shaha
Family Nurse Practitioner · Green Bay, WI
NPI number
1326762428
Active
Practice location
3021 Voyager Dr
Green Bay, WI 54311-8303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 13186-33 (WI) |
| Registered Nurse | 163W00000X | 154381-30 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1326762428
Jeffrey Shaha's National Provider Identifier is 1326762428, issued on Oct 3, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Jan 11, 2023.