Individual
MS. DAISY SUE SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S 48TH ST, SUITE 708, LINCOLN, NE 68506-1225
(402) 486-3444
(402) 486-3590
Mailing address
8550 CUTHILLS CIR, SUITE 100, LINCOLN, NE 68526-9474
(402) 476-6060
(402) 476-6809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
711
NE
Other
Enumeration date
01/17/2007
Last updated
11/12/2013
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