SearchNebraska163WP2201X

Shalah Shannon

NPI 1679444921 · on the registry since 2025 · sole proprietor

Practice

Address
4101 Woolworth Ave
Omaha, NE 68105
Phone
(402) 930-7099
Fax
(402) 930-7982
Organisation at this address
Omaha Vamc
Omaha Vamc
Omaha Vamc
Omaha Vamc
Va Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
604

Registry record

Primary taxonomy
163WP2201X
163WP2201X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-24

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