Individual
SERENITY BASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4920 S 30TH ST, OMAHA, NE 68107-1590
(402) 734-4110
(402) 734-3990
Mailing address
4920 S 30TH ST STE 103, OMAHA, NE 68198-2185
(402) 734-4110
(402) 734-3990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36420
NE
Other
Enumeration date
06/18/2021
Last updated
08/22/2024
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