Individual
SHALAH SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 930-7099
(402) 930-7982
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 930-7099
(402) 930-7982
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
85720
NE
Other
Enumeration date
09/17/2025
Last updated
10/24/2025
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