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Shannon Bolter, LADC, IADC, PCDGC

NPI 1376177071 · on the registry since 2020

Practice

Address
108 N 49th St Ste B103
Omaha, NE 68132
Phone
(402) 200-3808
Organisation at this address
Youtz
Robin Zagurski Pc
Akkase-Omaha, Llc
Brenda Mcilnay, Pc
The Youtz Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
101YA0400X
Licence states on file
IA, NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska