SearchNebraska172A00000X

Shannon Edwards

NPI 1538811997 · on the registry since 2022

Practice

Address
308 Luzerne
Table Rock, NE 68447
Phone
(816) 654-5138

Additional practice sites

  • 708 Luzerne St, Table Rock, NE

Registry record

Primary taxonomy
172A00000X
172A00000X
Also registered as
372500000X
372600000X
3747P1801X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-12

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