Provider Demographics
NPI:1962209544
Name:SNOW, SHONNA LEIGH
Entity type:Individual
Prefix:MS
First Name:SHONNA
Middle Name:LEIGH
Last Name:SNOW
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:SHONNA
Other - Middle Name:LEIGH
Other - Last Name:TOLBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4715 S 132ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1899
Mailing Address - Country:US
Mailing Address - Phone:402-533-0735
Mailing Address - Fax:
Practice Address - Street 1:951 N 25TH AVE
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1132
Practice Address - Country:US
Practice Address - Phone:402-533-0735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist