Individual
SHANNON KLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 N 5TH ST, BEATRICE, NE 68310-2957
(402) 223-1500
Mailing address
613 S 4TH ST, BEATRICE, NE 68310-3835
(402) 239-3109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
68178
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68178
REGISTERED NURSE
NE
Enumeration date
04/03/2019
Last updated
04/03/2019
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