IndividualActive
Blake Shanahan, MSN, APRN, NNP-BC
NPI 1760211015 · Neonatal Nurse Practitioner · Milwaukee, WI
Provider details
- NPI number
- 1760211015
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, APRN, NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 15676-33 (WI)
Practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-6820
Fax: (414) 266-6979
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.