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Contact Information

SHANNON M BIBIS, NP
725 AMERICAN AVE
WAUKESHA, WI53188-5031
 Phone: 262-928-2594
 Fax: 414-805-5809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANNON M BIBIS · (Female)

NPI Number 1588891097
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/11/2009
Last updated 12/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 156515
  • WI Medicaid 1588891097
Hospital affiliation(s)
  • WAUKESHA MEMORIAL HOSPITAL - (Acute Care)
    725 AMERICAN AVE
    WAUKESHA, WI 53188
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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