Individual
TOMMORA A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5490
(712) 325-2499
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
122238
IA
363LA2200X
Adult Health Nurse Practitioner
Primary
111050
NE
Other
Enumeration date
06/22/2009
Last updated
04/29/2026
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