Search › Wisconsin › 363LF0000X
Shamaria Wooten-Boston
NPI 1467817676 · on the registry since 2015 · sole proprietor
Practice
- Address
- 8661 N Port Washington Rd
Fox Point, WI 53217 - Phone
- (866) 389-2727
- Organisation at this address
- Wisconsin Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-11
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