Provider Demographics
NPI:1558150284
Name:SHIFFLETT, BREANA MAY (CNA)
Entity type:Individual
Prefix:
First Name:BREANA
Middle Name:MAY
Last Name:SHIFFLETT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-3809
Mailing Address - Country:US
Mailing Address - Phone:308-637-2999
Mailing Address - Fax:
Practice Address - Street 1:580 3RD ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-3809
Practice Address - Country:US
Practice Address - Phone:308-637-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion