Provider Demographics
NPI:1770382459
Name:CURLILE, SHANNON DALE
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:DALE
Last Name:CURLILE
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 1:502 S DAVIDSON ST
Mailing Address - Street 2:
Mailing Address - City:CALLAWAY
Mailing Address - State:NE
Mailing Address - Zip Code:68825-2584
Mailing Address - Country:US
Mailing Address - Phone:308-872-1225
Mailing Address - Fax:
Practice Address - Street 1:502 S DAVIDSON ST
Practice Address - Street 2:
Practice Address - City:CALLAWAY
Practice Address - State:NE
Practice Address - Zip Code:68825-2584
Practice Address - Country:US
Practice Address - Phone:308-872-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion