Individual provider · Type 1 NPI

Shannon Dale Tobiaz

Nurse Practitioner · Lansdale, PA

NPI number 1629910831 Active

Practice location

826 N Broad St
Lansdale, PA 19446-2321

Mailing address

817 Rose Ln
Hatfield, PA 19440-3149

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP035734 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629910831

Shannon Dale Tobiaz's National Provider Identifier is 1629910831, issued on Apr 7, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lansdale, PA. The record was last updated on Apr 14, 2026.