Provider Demographics
NPI:1366319477
Name:ANDERSON, SHARI ANN
Entity type:Individual
Prefix:
First Name:SHARI
Middle Name:ANN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 NORVAL ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:NE
Mailing Address - Zip Code:68460-3005
Mailing Address - Country:US
Mailing Address - Phone:402-317-7788
Mailing Address - Fax:
Practice Address - Street 1:103 NORVAL ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:NE
Practice Address - Zip Code:68460-3005
Practice Address - Country:US
Practice Address - Phone:402-317-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide