Provider Demographics
NPI:1285433292
Name:DOBISH, SHYLA ANNE
Entity type:Individual
Prefix:
First Name:SHYLA
Middle Name:ANNE
Last Name:DOBISH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 COURT ST
Mailing Address - Street 2:
Mailing Address - City:GIBBON
Mailing Address - State:NE
Mailing Address - Zip Code:68840-6003
Mailing Address - Country:US
Mailing Address - Phone:308-830-3301
Mailing Address - Fax:
Practice Address - Street 1:2106 E 37TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-3200
Practice Address - Country:US
Practice Address - Phone:308-216-0826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker