Individual
SHELBY JO SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2900 S 70TH ST STE 450, LINCOLN, NE 68506-3796
(402) 730-0230
Mailing address
2900 S 70TH ST STE 450, LINCOLN, NE 68506-3796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81623
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101759
NE
Other
Enumeration date
06/27/2022
Last updated
05/30/2023
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