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NPI Code Detail

MEDICARE: SHELIA RAN MCCREARY

MEDICARE:   SHELIA RAN MCCREARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1942190236
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELIA RAN MCCREARY
Provider Business Mailing Address
First Line : 2424 EVANS ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-2906
Country : US
Telephone Number : 402-880-7204
Fax Number :
Provider Business Practice Location Address
First Line : 100 S 19TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68102-1337
Country : US
Telephone Number : 531-541-9020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/08/2025

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Directions to “ SHELIA RAN MCCREARY ” Practice Location

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