STACEY ANNE SHINAUT

OMAHA, NE
NPI1811294515
Former NameSTACEY ANNE TIBBELS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NE  111220)
Enumeration Date2011-02-16
Last Update Date2011-02-16
Business Address
-- STACEY ANNE SHINAUT APRN
8111 DODGE ST SUITE 363
OMAHA, NE 68114-4129
Phone number: 402-354-8155
Mailing Address
-- STACEY ANNE SHINAUT APRN
8111 DODGE ST SUITE 363
OMAHA, NE 68114-4129
Phone number: 402-354-8155
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