NPI 1558589887
Shalonda Booth
Practice location
- Address
- 4646 N 66th St, Milwaukee, WI 53218-4820
- Phone
- (414) 702-8339
Authorised official
- Name
- Shalonda Nicole Booth
- Title
- Registered Nurse
- Phone
- (414) 702-8339
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1558589887
- Entity type
- Organization
- NPI issued
- 23 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.