Provider Demographics
NPI:1801604442
Name:SHRUM, SARAH LYN
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYN
Last Name:SHRUM
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 1:2114 NW 47TH CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1900
Mailing Address - Country:US
Mailing Address - Phone:402-416-5330
Mailing Address - Fax:
Practice Address - Street 1:5015 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3050
Practice Address - Country:US
Practice Address - Phone:402-802-5306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide