Provider Demographics
NPI:1992503627
Name:WEBB, SHIRLEY JUNE
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:JUNE
Last Name:WEBB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 BERBER ST
Mailing Address - Street 2:P O BOX 283
Mailing Address - City:CAIRO
Mailing Address - State:NE
Mailing Address - Zip Code:68824-0283
Mailing Address - Country:US
Mailing Address - Phone:308-227-8048
Mailing Address - Fax:
Practice Address - Street 1:5311 HWY 40
Practice Address - Street 2:
Practice Address - City:MILLER
Practice Address - State:NE
Practice Address - Zip Code:68858
Practice Address - Country:US
Practice Address - Phone:308-227-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant