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Provider Information for 1679046148


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ELISABETH SCHMIDT SHAW PLMHP


Sex: Female

NPI: 1679046148
Last Updated: 2023-10-18
Certification Date: 2023-10-18

Details

NameValue
NPI1679046148
Enumeration Date2019-01-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 700 R ST STE 305
LINCOLN, NE 68501-0010
United States

Phone: 620-899-6806 | Fax:
 
Primary Practice Address 700 R ST STE 305
LINCOLN, NE 68501-0010
United States

Phone: 620-899-6806 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor NE11742