Individual
MS. SHIRLETTE A HERSHISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4200 LUCILE DR, LINCOLN, NE 68506-6028
(402) 483-7631
Mailing address
4200 LUCILE DR STE 100, LINCOLN, NE 68506-6032
(402) 483-7631
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1419
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1419
DENTAL HYGIENE LICENSE
NE
Enumeration date
03/23/2019
Last updated
03/23/2019
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