Individual
MS. MELISSA N. SHOTKOSKI TUFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 N ERIE ST, LEXINGTON, NE 68850-1571
(308) 324-5651
(308) 324-8359
Mailing address
PO BOX 980, LEXINGTON, NE 68850-0980
(308) 324-5651
(308) 324-8359
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100954
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47061979815
—
NE
Enumeration date
04/19/2006
Last updated
04/18/2023
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