Individual
NATHAN THOMAS SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4220 L ST, OMAHA, NE 68107-1048
(402) 733-4433
(402) 733-1220
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 733-4433
(402) 733-1220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73722
NE
363LF0000X
Family Nurse Practitioner
Primary
112346
NE
Other
Enumeration date
09/07/2017
Last updated
10/17/2017
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