Provider Demographics
NPI:1831089291
Name:PRANGE, SHELBI
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:
Last Name:PRANGE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1022
Mailing Address - Country:US
Mailing Address - Phone:402-326-3481
Mailing Address - Fax:
Practice Address - Street 1:EXTENDED FAMILIES OF NEBRASKA
Practice Address - Street 2:4525 F ST.
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510
Practice Address - Country:US
Practice Address - Phone:402-975-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services