Provider Demographics
NPI:1649083916
Name:BARAGAR, SHIELA MARIE
Entity type:Individual
Prefix:
First Name:SHIELA
Middle Name:MARIE
Last Name:BARAGAR
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 1:233 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:AINSWORTH
Mailing Address - State:NE
Mailing Address - Zip Code:69210-1420
Mailing Address - Country:US
Mailing Address - Phone:402-387-0281
Mailing Address - Fax:
Practice Address - Street 1:400 PANZER ST APT 12
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714-6041
Practice Address - Country:US
Practice Address - Phone:402-684-3500
Practice Address - Fax:402-684-3500
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider