Provider Demographics
NPI:1447046149
Name:COLLIER, SHAYGNESIA RENEE'
Entity type:Individual
Prefix:
First Name:SHAYGNESIA
Middle Name:RENEE'
Last Name:COLLIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7012
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-0012
Mailing Address - Country:US
Mailing Address - Phone:531-239-0116
Mailing Address - Fax:
Practice Address - Street 1:5403 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-3404
Practice Address - Country:US
Practice Address - Phone:531-239-0116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE103554376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide