Individual provider · Type 1 NPI
Sophie Ann Shackley, PA-C
Medical Physician Assistant · Fitchburg, WI
NPI number
1376165548
Active
Practice location
5543 E Cheryl Pkwy
Fitchburg, WI 53711-5376
Mailing address
7588 E Technology Way Apt 203
Denver, CO 80237-3060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 8537-23 (WI) |
Medical Physician Assistant: Definition to come...
21 other providers at this address
- University of Wisconsin Medical FoundationDurable Medical Equipment & Medical Supplies Fitchburg, WI NPI 1821059619
- Adrienne L. Johnson, PhDPsychologist Fitchburg, WI NPI 1962163378
- Alexis M. Eastman, MDGeriatric Medicine (Internal Medicine) Physician Fitchburg, WI NPI 1306164306
- Alida M. Evans, MD PHDFamily Medicine Physician Fitchburg, WI NPI 1043270341
- Andrea B. Fulcomer, PA-CPhysician Assistant Fitchburg, WI NPI 1972552131
- Carol Elizabeth Delfosse, LMFTMarriage & Family Therapist Fitchburg, WI NPI 1801220157
- Carole Elizabeth Perry, MDFamily Medicine Physician Fitchburg, WI NPI 1083796049
- Daniel Joel McCulley, MDGeriatric Medicine (Internal Medicine) Physician Fitchburg, WI NPI 1114313434
- Katherine A. McCreary, MDFamily Medicine Physician Fitchburg, WI NPI 1033506555
- Kathleen Dawn Canales Peterson, APNPNurse Practitioner Fitchburg, WI NPI 1548855349
- Kaye McGrathNurse Practitioner Fitchburg, WI NPI 1326476417
- Lakeisha M. Feagin, NPNurse Practitioner Fitchburg, WI NPI 1588451553
Other medical physician assistant providers in Fitchburg
- Tyler Cole Gorman, PA-CMedical Physician Assistant Fitchburg, WI NPI 1184082893
- Debra A. Schrader, PAMedical Physician Assistant Fitchburg, WI NPI 1487693776
- Kimberly K. Schuchardt, PAMedical Physician Assistant Fitchburg, WI NPI 1598911232
- Renee L. Schutte, PA-CMedical Physician Assistant Fitchburg, WI NPI 1730528654
About NPI 1376165548
Sophie Ann Shackley, PA-C's National Provider Identifier is 1376165548, issued on May 11, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fitchburg, WI. The record was last updated on Sep 2, 2026.