Individual
SHELBY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 Q ST STE 500, LINCOLN, NE 68503-3610
(402) 484-4940
Mailing address
11284 BAUMAN AVE, OMAHA, NE 68164-6807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80348
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
120522
NE
Other
Enumeration date
01/16/2018
Last updated
03/26/2018
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