Individual provider · Type 1 NPI
Shannon Gaines
Wound Care Registered Nurse · Salem, WI
NPI number
1780414060
Active
Practice location
23323 87th St
Salem, WI 53168-9437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 041.527344 (IL) |
| Wound Care Registered Nurse Primary | 163WW0000X | 234239-30 (WI) |
Wound Care Registered Nurse: Definition to come...
About NPI 1780414060
Shannon Gaines's National Provider Identifier is 1780414060, issued on Aug 2, 2024. The primary taxonomy on file is Wound Care Registered Nurse (163WW0000X), and the practice location is in Salem, WI. The record was last updated on Aug 2, 2024.