Provider Demographics
NPI:1134136757
Name:HIER-DUFFIN, SHARON L (DO)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:HIER-DUFFIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:7001 A ST
Practice Address - Street 2:STE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4299
Practice Address - Country:US
Practice Address - Phone:402-488-4022
Practice Address - Fax:402-488-4113
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE282207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE07014OtherBCBS
NE229667OtherMIDLAND'S CHOICE
NE07-00473OtherUHC
160051174Medicare PIN
NE229667OtherMIDLAND'S CHOICE
G80480Medicare UPIN
NE07-00473OtherUHC