Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE TAYLOR BLOOM, PA
ActivePhysician Assistant · LINCOLN, NE
Registration Details
- NPI Number
- 1720670482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2021 (5.253491763687 yrs)
- Last Updated
- Mar 25, 2021
- License
-
2570 (NE)
Practice Information
- Address
-
1500 S 48TH ST STE 800LINCOLN, NE, 685061200Browse NE providers · Browse ZIP 68506
- Phone
- 4024838600
- Fax
- 4024838689
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LINCOLN, NE
| Name | Credential | NPI |
|---|---|---|
| WANDA L WYNN | PA | 1093719650 |
| JACKLYNN A KMENT | PA-C | 1003813767 |
| KELLI CHRISTINE OSSENKOP | PAC | 1275528200 |
| LISA M JOHNSON | PA-C | 1619963709 |
| MRS. CATHERINE M BATEMAN | PA | 1003899949 |
| MICHELLE TYSER | PA | 1083698518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.