Provider Demographics
NPI:1073769014
Name:ASPLIN, SHELLY LYNN (RD, LMNT)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:LYNN
Last Name:ASPLIN
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:MISS
Other - First Name:SHELLY
Other - Middle Name:LYNN
Other - Last Name:CHRISTENSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, CN
Mailing Address - Street 1:1000 S 178TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-3542
Mailing Address - Country:US
Mailing Address - Phone:402-334-4910
Mailing Address - Fax:
Practice Address - Street 1:1000 S 178TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-3542
Practice Address - Country:US
Practice Address - Phone:402-334-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE817977133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic