Individual
SHANNON FAYE HAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 SW 27TH ST APT 116, LINCOLN, NE 68522-1064
(531) 530-9300
Mailing address
1120 SW 27TH ST, APT 116, LINCOLN, NE 68522
(531) 530-9300
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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