Individual
SHANNON LYNN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4321 41ST AVE, COLUMBUS, NE 68601-2131
(402) 562-7500
Mailing address
4321 41ST AVE, COLUMBUS, NE 68601-2131
(402) 562-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2140
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140
APRN
NE
Enumeration date
07/06/2020
Last updated
07/06/2020
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