Individual
SHELBY ANN GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3308 SAMSON WAY STE 101, BELLEVUE, NE 68123-3235
(402) 291-3373
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
129662
IA
363A00000X
Physician Assistant
Primary
3194
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2023
Last updated
03/13/2025
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