Shaw, Tommora A

Shaw, Tommora A is an individual health care provider with primary practice located at 800 Mercy Dr , Council Bluffs IA 51503-3128. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Shaw, Tommora A can be contacted via phone (712) 328-5490.

Contact Information

Primary practice address
800 Mercy Dr Council Bluffs IA 51503-3128
Phone: (712) 328-5490
Fax: (712) 325-2499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 111050 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 122238 Iowa

Profile Details

NPI number 1154558765
LBN Legal business name Shaw, Tommora A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated May 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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