Most Relevant Information
Provider Data
| NPI Number: | 1003528316 |
| Provider Name: | NICOLE M SHAFFER APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 114551 |
Most Important Dates
| Enumeration Date: | 12/19/2022 |
| Last Updated: | 12/19/2022 |
Provider Practice Location
7710 MERCY RD STE 224
OMAHA
NE
681242346
Practice Location Phone/Fax
| Phone: | 4027170880 |
| Fax: | 4027176068 |
Provider Mailing Location
7261 MERCY RD
OMAHA
NE
681242311
Provider Mailing Phone/Fax
| Phone: | 4023986248 |
| Fax: | 4028298513 |