Most Relevant Information
Provider Data
| NPI Number: | 1003034216 |
| Provider Name: | NANCY A SHIRK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 962-132 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
107 DIVISION ST
PLYMOUTH
WI
530731801
Practice Location Phone/Fax
| Phone: | 9208927788 |
| Fax: | 9208935459 |
Provider Mailing Location
8026 S 85TH ST
FRANKLIN
WI
531328571
Provider Mailing Phone/Fax
| Phone: | 4144254884 |
| Fax: | 4145252798 |