Individual provider · Type 1 NPI
Tommora A. Shaw, ARNP
Adult Health Nurse Practitioner · Council Bluffs, IA
NPI number
1154558765
Active
Practice location
800 Mercy Dr
Council Bluffs, IA 51503-3128
Fax (712) 325-2499
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 122238 (IA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 111050 (NE) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1154558765
Tommora A. Shaw, ARNP's National Provider Identifier is 1154558765, issued on Jun 22, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Council Bluffs, IA. The record was last updated on Apr 29, 2026.