Individual
SHELBY LEE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S 90TH ST, OMAHA, NE 68124-1201
(402) 515-3480
Mailing address
7820 S 191ST ST, OMAHA, NE 68136-1226
(402) 515-3480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97322
NE
Other
Enumeration date
08/19/2024
Last updated
02/20/2025
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