Individual
MRS. SHANNA GILLMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2702 W 11TH ST, KEARNEY, NE 68845-0102
(308) 698-8080
Mailing address
2702 W 11TH ST, KEARNEY, NE 68845-0102
(308) 698-8080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59360
NE
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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