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