Provider Demographics
NPI:1306935077
Name:MUHS, SHANNON (RD, LMNT, LD, LDN)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:MUHS
Suffix:
Gender:F
Credentials:RD, LMNT, LD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2405
Mailing Address - Country:US
Mailing Address - Phone:402-915-0705
Mailing Address - Fax:
Practice Address - Street 1:114 E 1ST ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2405
Practice Address - Country:US
Practice Address - Phone:402-915-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE435133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE278439Medicare ID - Type Unspecified