MARY GRACE SHANABARGER APNP AGPCNP-BC NPI 1255148656

NPI Information

  • NPI: 1255148656
  • Provider Name: MARY GRACE SHANABARGER, APNP, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: N16W24131 RIVERWOOD DR
    WAUKESHA, WI
    ZIP 53188
  • Phone: (262) 366-7437

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NPI Details

Mary Grace Shanabarger, APNP, AGPCNP-BC is a gerontology nurse practitioner in Waukesha, WI. Mary Grace Shanabarger, APNP, AGPCNP-BC NPI is 1255148656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

N16W24131 RIVERWOOD DR
WAUKESHA, WI
ZIP 53188-106
Phone: (262) 366-7437

The enumeration date for this NPI number is 12/18/2024 and was last updated on 1/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral Practice256531-30WISCONSINNo
2363LG0600XNurse PractitionerGerontology16303-33WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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