Individual
SHANNAN K FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, CMA
Contact information
Practice address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 381-1690
Mailing address
2303 ROAD B, POLK, NE 68654-2012
(402) 366-9544
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
106727
NE
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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