MARY GRACE SHANABARGER

MILWAUKEE, WI
NPI1255148656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  16303)
Additional Taxonomies163WG0000X Registered Nurse, General Practice
(Licence: WI  256531-30)
363LG0600X Nurse Practitioner, Gerontology
(Licence: WI  16303-33)
Enumeration Date2024-12-18
Last Update Date2025-08-20
Business Address
MARY GRACE SHANABARGER APNP, AGPCNP-BC
788 N JEFFERSON ST STE 300
MILWAUKEE, WI 53202-3710
Phone number: 414-272-8950
Mailing Address
MARY GRACE SHANABARGER APNP, AGPCNP-BC
N16W24131 RIVERWOOD DR
WAUKESHA, WI 53188-1106
Phone number: 262-696-0808