Provider Demographics
NPI:1639255714
Name:NYFFELER, SHARON S (MS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:S
Last Name:NYFFELER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1675
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68602-1675
Mailing Address - Country:US
Mailing Address - Phone:402-563-1422
Mailing Address - Fax:402-564-1799
Practice Address - Street 1:3154 18TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-3074
Practice Address - Country:US
Practice Address - Phone:402-563-1422
Practice Address - Fax:402-564-1799
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELMHP 455101YM0800X
NECPC 495101YP2500X
NECMFT 009106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84242OtherBCBS