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
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 15676-33 (WI) |
Neonatal Nurse Practitioner: Definition to come...
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- Alby K. Antoo, MDFamily Medicine Physician Kenosha, WI NPI 1407864093
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Other neonatal nurse practitioner providers in Kenosha
- Jill Colontuono, NNP-BC, PNCBNeonatal Nurse Practitioner Kenosha, WI NPI 1619161916
- Therese VanbuskirkNeonatal Nurse Practitioner Kenosha, WI NPI 1669614020
- Karen Marie Fenske, NNP, APNPNeonatal Nurse Practitioner Kenosha, WI NPI 1699917880
- Maureen Alice O'Reilly, NNP-BCNeonatal Nurse Practitioner Kenosha, WI NPI 1902071186
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.