Individual
SHANNON L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2510 BELLEVUE MEDICAL CENTER DR STE 200, BELLEVUE, NE 68123-1520
(402) 595-2275
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110469
NE
363LF0000X
Family Nurse Practitioner
A126152
IA
Other
Enumeration date
09/20/2006
Last updated
10/29/2020
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