Provider Demographics
NPI:1730055393
Name:HORD, SHIRLEY JOANN
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:JOANN
Last Name:HORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11750 N 142ND ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NE
Mailing Address - Zip Code:68462-2056
Mailing Address - Country:US
Mailing Address - Phone:402-321-8784
Mailing Address - Fax:
Practice Address - Street 1:11750 N 142ND ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NE
Practice Address - Zip Code:68462-2056
Practice Address - Country:US
Practice Address - Phone:402-321-8784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion