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Shanta Russell

NPI 1821955816 · on the registry since 2026 · sole proprietor

Practice

Address
2505 Jefferson St
Omaha, NE 68107
Phone
(402) 452-9694

Registry record

Primary taxonomy
251E00000X
251E00000X
Sex
Female
Record last updated
2026-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska