NPI 1548124894

Shamaine Moore

Practitioner Nursing Home Administrator Milwaukee, WI

Practice location

Address: 2701 W Fairmount Ave, Milwaukee, WI 53209-5523
Phone: (414) 426-4535
Mailing address: 4971 N 27th St, Milwaukee, WI 53209-5512

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 0020756 (WI)

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Registry record

NPI: 1548124894
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2025
Record last updated: 11 Dec 2025

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.