Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Gaines

Individual provider Wound Care Registered Nurse · NPI 1780414060

Shannon Gaines is a Wound Care Registered Nurse in Salem, Wisconsin. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

23323 87th St
Salem, WI 53168-9437
Phone: (262) 977-0070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X · Licence 234239-30 (WI)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 041.527344 (IL)

Record details

NPI number1780414060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address23323 87th St, Salem, WI 53168-9437