Individual
DR. SHANON GRACE MCLEAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 SOUTH 42ND ST., OMAHA, NE 68131
(402) 552-6007
Mailing address
4323 CHICAGO ST, OMAHA, NE 68131-2216
(531) 375-8575
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
76214
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114947
NE
Other
Enumeration date
07/06/2023
Last updated
08/16/2023
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