Individual
DR. SHELLY R NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
828 LAKE AVE, STE F, GOTHENBURG, NE 69138-1950
(308) 537-2294
(308) 537-2256
Mailing address
22319 RUFF RD, GRETNA, NE 68028-7304
(402) 471-9379
(402) 742-2348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12439
NE
Other
Enumeration date
10/17/2007
Last updated
08/15/2016
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