# SHIRLEY ANN CLAASSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891720710
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 10454 | NE | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 092712 | MEDICARE | NE |
| 05 | — | 47048743401 | — | NE |
| 05 | — | 5900050 | — | SD |