Individual
SHANNON DALE TOBIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 N BROAD ST, LANSDALE, PA 19446-2321
(215) 855-1054
Mailing address
817 ROSE LN, HATFIELD, PA 19440-3149
(484) 358-6617
(484) 358-6617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP035734
PA
Other
Enumeration date
04/07/2026
Last updated
04/14/2026
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