IndividualActive
Shannon Fahey
NPI 1497592075 · Day Training/Habilitation Specialist · Egg Harbor, WI
Provider details
- NPI number
- 1497592075
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4976 Plum Bottom Rd
Egg Harbor, WI 54209-9147
Phone: (920) 418-3330
Approximate (ZIP-level) locationGet directions
Mailing address
4976 Plum Bottom Rd
Egg Harbor, WI 54209-9147
Registry dates
- Enumerated
- 2024-07-11
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.