Shelly Lynn Eagen in Middleton - Pediatrics
Shelly Lynn Eagen - NPI 1144377631
Shelly Lynn Eagen is a Pediatrics in Middleton, Wisconsin. Shelly Lynn Eagen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shelly Lynn Eagen is 1144377631. The last update date is 2015-11-04.
Shelly Lynn Eagen's current location address is 7974 Uw Health Ct, Middleton, Wisconsin. You can contact this provider via phone number 6088295485. The mailing address for Shelly Lynn Eagen is 7974 Uw Health Ct, Middleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Lynn Eagen |
|---|---|
| Address | 7974 Uw Health Ct, Middleton, Wisconsin |
| Phone Number | 6088295485 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1144377631 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2015-11-04 |
Provider Mailing Address Detail
| Address | 7974 Uw Health Ct |
|---|---|
| City | Middleton |
| State | Wisconsin (WI) |
| Post Code | 535625531 |
| Phone Number | 6088295485 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 144314-030 |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38352100 | WI | -- |
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What is the Shelly Lynn Eagen's unique identification number?
The Shelly Lynn Eagen has been assigned the NPI (National Provider Identifier) Number 1144377631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Shelly Lynn Eagen's facilities are situated?
The facilities of Shelly Lynn Eagen are physically located at the following address: 7974 Uw Health Ct, Middleton, WI, 535625531.
What is the Shelly Lynn Eagen's area of specialization and corresponding taxonomy classification?
The Shelly Lynn Eagen's specialty field is Pediatrics, and it falls under the taxonomy code 163Wp0200X, which categorizes healthcare providers based on their specialties.
On what date did Shelly Lynn Eagen receive its 1144377631 assignment from the Centers for Medicare & Medicaid Services?
The Shelly Lynn Eagen was assigned its 1144377631 on 2007-01-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shelly Lynn Eagen most recently updated?
The details pertaining to the Shelly Lynn Eagen, including its address, specialty, and other relevant information, were last refreshed on 2015-11-04.
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