Individual
SHAYONA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2928 N 83RD ST APT 130, OMAHA, NE 68134-4952
(402) 259-6301
Mailing address
2928 N 83RD ST APT 130, OMAHA, NE 68134-4952
(402) 259-6301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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