person
Shannon L Nolan, PA-C
Surgical Physician Assistant in Omaha, Nebraska
NPI 1063430841

Shannon L Nolan is a Surgical Physician Assistant based in Omaha, NE and is specialized in Surgical. Shannon L Nolan practices in Omaha, NE and has the professional credentials of PA-C. The NPI Number for Shannon L Nolan is 1063430841 and holds a License No. 1206 (Nebraska).

The current practice location address for Shannon L Nolan is 13616 California St, Omaha, NE and can be reached out via phone at 402-496-0404 and via fax at 402-496-0517.

Location: 13616 California St, Omaha, NE, 68154-5335
person
Provider Profile Details
NPI Number
1063430841
Provider Name
Shannon L Nolan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13616 California St, Omaha, NE, 68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00337631 01 NE RR MEDICARE
47081304012 05 NE
68154A022 01 NE TRICARE
279884 01 NE MEDICARE
37976 01 NE BCBS
institution
Provider Business Practice Location Address Details
Address
13616 California St
City
State
Zip
68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
person
Provider Business Mailing Address Details
Address
13616 California St
City
State
Zip
68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1206 (Nebraska)
Definition
Definition to come...
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