Individual
SHANNON LYNN RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W 27TH ST, SCOTTSBLUFF, NE 69361-4306
(308) 633-9200
Mailing address
170056 SPRING CREEK RD, MITCHELL, NE 69357-5310
(308) 631-7182
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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