Provider Demographics
NPI:1316752066
Name:NELSON, SHEREE (RN)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:
Last Name:NELSON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 S 96TH ST STE 134
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1240
Mailing Address - Country:US
Mailing Address - Phone:402-312-7038
Mailing Address - Fax:402-607-8367
Practice Address - Street 1:4611 S 96TH ST STE 134
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1240
Practice Address - Country:US
Practice Address - Phone:402-312-7038
Practice Address - Fax:402-607-8367
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX868348163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse