Individual provider · Type 1 NPI
Shannon Godbolt, APNP
Nurse Practitioner · Kenosha, WI
Practice location
6308 8th Ave # 3030
Kenosha, WI 53143-5031
Fax (262) 656-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7384 (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 1497228712
Shannon Godbolt, APNP's National Provider Identifier is 1497228712, issued on Jan 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on Jan 9, 2019.