Healthcare Provider Details

I. General information

NPI: 1629915210
Provider Name (Legal Business Name): SHEA LENTZ APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3740 N 27TH ST STE 1
LINCOLN NE
68521-4162
US

IV. Provider business mailing address

3740 N 27TH ST STE 1
LINCOLN NE
68521-4162
US

V. Phone/Fax

Practice location:
  • Phone: 402-423-0396
  • Fax:
Mailing address:
  • Phone: 402-423-0396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116807
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: