Individual provider · Type 1 NPI

Blake Shanahan, MSN, APRN, NNP-BC

Neonatal Nurse Practitioner · Kenosha, WI

NPI number 1760211015 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 · (414) 805-6600
  • 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 · (414) 266-6820

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X15676-33 (WI)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1760211015

Blake Shanahan, MSN, APRN, NNP-BC's National Provider Identifier is 1760211015, issued on Jul 26, 2024. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 2, 2026.