Provider Demographics
NPI:1366120677
Name:BARROW, LA SHONIA D (HEALTHCARE ADMIN)
Entity type:Individual
Prefix:
First Name:LA SHONIA
Middle Name:D
Last Name:BARROW
Suffix:
Gender:F
Credentials:HEALTHCARE ADMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 N 60TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-1375
Mailing Address - Country:US
Mailing Address - Phone:402-999-6552
Mailing Address - Fax:
Practice Address - Street 1:1204 N 60TH ST APT 5
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-1375
Practice Address - Country:US
Practice Address - Phone:402-999-6552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
NE91670374U00000X
NEREGISTRY1540376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator
No174H00000XOther Service ProvidersHealth Educator
No374U00000XNursing Service Related ProvidersHome Health Aide