Individual provider · Type 1 NPI

Kathleen K. Shanovich, NP

Pediatric Nurse Practitioner · Madison, WI

NPI number 1760459929 Active

Practice location

600 Highland Ave
Madison, WI 53792

Call (608) 263-6420 Map

Fax (608) 263-9103

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1186 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1760459929

Kathleen K. Shanovich, NP's National Provider Identifier is 1760459929, issued on Mar 7, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Madison, WI. The record was last updated on Apr 30, 2009.