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Individual

SHYLA BRIANNE CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2116 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4678
(308) 382-4297
Mailing address
1814 12TH ST, CENTRAL CITY, NE 68826-1013
(402) 440-4882

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114282
NE

Other

Enumeration date
07/18/2022
Last updated
07/18/2022
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