Healthcare Provider Details

I. General information

NPI: 1124658547
Provider Name (Legal Business Name): SHAY RENAE ARMSTRONG CNM APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAY RENAE BATES

II. Dates (important events)

Enumeration Date: 01/24/2020
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8020 O ST
LINCOLN NE
68510-2561
US

IV. Provider business mailing address

8020 O ST
LINCOLN NE
68510-2561
US

V. Phone/Fax

Practice location:
  • Phone: 402-488-6370
  • Fax: 402-488-4393
Mailing address:
  • Phone: 402-488-6370
  • Fax: 402-488-4393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: