Shannon L Nolan is a Surgical in Omaha, Nebraska. Shannon L Nolan practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shannon L Nolan is 1063430841. The last update date is 2009-01-28.
Shannon L Nolan's current location address is 13616 California St, Omaha, Nebraska. You can contact this provider via phone number 4024960404 and fax number 4024960517. The mailing address for Shannon L Nolan is 13616 California St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Nolan |
|---|---|
| Address | 13616 California St, Omaha, Nebraska |
| Phone Number | 4024960404 |
| Fax Number | 4024960517 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063430841 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2009-01-28 |
Provider Mailing Address Detail
| Address | 13616 California St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681545335 |
| Phone Number | 4024960404 |
| Fax Number | 4024960517 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1206 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00337631 | NE | RR MEDICARE | |
| 47081304012 | NE | -- | |
| 68154A022 | NE | TRICARE | |
| 279884 | NE | MEDICARE | |
| 37976 | NE | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shannon L Nolan by the Centers for Medicare & Medicaid Services?
The Shannon L Nolan has been issued the NPI (National Provider Identifier) 1063430841 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shannon L Nolan?
The Shannon L Nolan is physically situated at 13616 California St, in the city of Omaha, state of NE, with the postal code 681545335.
What is Shannon L Nolan's area of expertise and its corresponding taxonomy classification?
The Shannon L Nolan's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
When did Shannon L Nolan receive its 1063430841 assignment?
The Shannon L Nolan was assigned its 1063430841 on 2006-07-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Shannon L Nolan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon L Nolan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-01-28.