NPI 1497592075
Shannon M Fahey
Practice location
- Address
- 4976 Plum Bottom Rd, Egg Harbor, WI 54209-9147
- Phone
- (920) 418-3330
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1497592075
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jul 2024
- Record last updated
- 11 Jul 2024
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.