Provider Demographics
NPI:1386274520
Name:GARITO, SHAWNA MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:MARIE
Last Name:GARITO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:2200 S 40TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2425
Mailing Address - Country:US
Mailing Address - Phone:402-413-0717
Mailing Address - Fax:402-951-9763
Practice Address - Street 1:2200 S 40TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2425
Practice Address - Country:US
Practice Address - Phone:402-413-0717
Practice Address - Fax:402-951-9763
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2024-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004543207RC0200X
NE114134363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner