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Individual

MS. SHELLY A HAJNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5010 O ST, LINCOLN, NE 68510-1951
(800) 253-4368
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6254

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1345
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47037658324
NE
Enumeration date
02/12/2009
Last updated
11/08/2016
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