Individual
SHELY MAY PENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN/RN
Contact information
Practice address
2193 WAYNE ST, BELLEVUE, NE 68005-3381
(402) 293-4260
Mailing address
2193 WAYNE ST, BELLEVUE, NE 68005-3381
(402) 293-4260
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
74802
NE
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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