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Search › Wisconsin › Adult Care Home Facility

Shalyn Fuller

NPI 1124977012 · on the registry since 2026

Practice

Address
3610 Shade Tree Ct
Waukesha, WI 53188
Phone
(414) 397-1594

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin