IndividualActive
Shannon Gaines
NPI 1780414060 · Wound Care Registered Nurse · Salem, WI
Provider details
- NPI number
- 1780414060
- Entity type
- Individual
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041.527344 (IL)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
23323 87th St
Salem, WI 53168-9437
Phone: (262) 977-0070
Approximate (ZIP-level) locationGet directions
Mailing address
23323 87th St
Salem, WI 53168-9437
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.