Individual
SHELLIE RAE CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6235 LOGAN AVE, LINCOLN, NE 68507-1248
(402) 440-5878
Mailing address
5001 NW 1ST ST, LINCOLN, NE 68521-4496
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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