MS. Shanna Marie Widera, RN, APN
MS. Shanna Marie Widera, RN, APN is a Pediatric Nurse Practitioner in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
225 E Chicago Ave Box #59Chicago, IL 60611-2991
Phone: (312) 227-6778
Fax: (312) 227-9413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 209004579 (IL) |
|---|
Record details
| NPI number | 1790710531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , APN |
| Sole proprietor | No |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | November 21, 2019 |
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