Individual provider · Type 1 NPI

Shannon Lee Plos, NP

Nurse Practitioner · Green Bay, WI

NPI number 1477911071 Active

Practice location

835 S Van Buren St
Green Bay, WI 54301-3526

Call (920) 884-5460 Map

Fax (920) 884-5475

Mailing address

2793 Lineville Rd
Green Bay, WI 54313-7152

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X143070-30 (WI)
Nurse Practitioner Primary 363L00000X6799-33 (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…

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About NPI 1477911071

Shannon Lee Plos, NP's National Provider Identifier is 1477911071, issued on Feb 10, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Apr 14, 2020.