Individual
SHIRLEY WAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 S. WEBB RD., GRAND ISLAND, NE 68802
(308) 385-5900
Mailing address
123 S. WEBB RD., GRAND ISLAND, NE 68802
(308) 385-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75971
NE
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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