SHANNON BASILE

WEST ALLIS, WI
NPI1013713817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WI  16511-33)
Enumeration Date2025-02-21
Last Update Date2025-02-21
Business Address
SHANNON BASILE APNP, PMHNP-BC
2424 S 102ND ST
WEST ALLIS, WI 53227-2106
Phone number: 414-373-7474
Mailing Address
SHANNON BASILE APNP, PMHNP-BC
2424 S 102ND ST
WEST ALLIS, WI 53227-2106
Phone number: 414-373-7474