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Individual

BONNIE I SHEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4208
(402) 559-7929
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4208
(402) 559-7929

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
248
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
248
NE LICENSE
NE
Enumeration date
05/11/2006
Last updated
07/06/2011
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