Healthcare Provider Details

I. General information

NPI: 1073769014
Provider Name (Legal Business Name): SHELLY LYNN ASPLIN R.D, L.M.N.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELLY LYNN CHRISTENSON R.D., C.N.

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 N 132ND ST
OMAHA NE
68154-4000
US

IV. Provider business mailing address

1000 S 178TH ST
OMAHA NE
68118-3542
US

V. Phone/Fax

Practice location:
  • Phone: 515-695-3121
  • Fax:
Mailing address:
  • Phone: 402-334-4910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number817977
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: