Individual
MS. AMY C SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 S WILLOW ST, NORTH PLATTE, NE 69101-6082
(308) 534-4804
(308) 534-0460
Mailing address
1115 S WILLOW ST, NORTH PLATTE, NE 69101-6082
(308) 534-4804
(308) 534-0460
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101234052
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
27873
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200638290A
—
KS
01
—
27873
STATE MEDICAL LICENSE
NE
Enumeration date
02/06/2006
Last updated
07/31/2014
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