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Shelby Fastnacht
NPI 1457158370 · on the registry since 2025 · sole proprietor
Practice
- Address
- 10717 Virginia Plz Ste 113
La Vista, NE 68128 - Phone
- (402) 414-4879
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-14
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