Individual
DR. SHANE DEXTER PENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
983075 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3075
(402) 595-2275
Mailing address
983075 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3075
(402) 595-2275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10396
NE
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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