Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Dale Tobiaz

Individual provider Nurse Practitioner · NPI 1629910831

Shannon Dale Tobiaz is a Nurse Practitioner in Lansdale, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

826 N Broad St
Lansdale, PA 19446-2321
Phone: (215) 855-1054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP035734 (PA)

Record details

NPI number1629910831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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