Individual
MRS. SHANNON H CULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4121 THORN CT, LINCOLN, NE 68520-9322
(402) 419-9885
Mailing address
4121 THORN CT, LINCOLN, NE 68520-9322
(402) 419-9885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111105
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP17174
NP LICENSE
CA
Enumeration date
04/19/2007
Last updated
03/18/2021
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