Provider Demographics
NPI:1831996735
Name:SORENSEN, TASHAUNA NICOLE
Entity type:Individual
Prefix:
First Name:TASHAUNA
Middle Name:NICOLE
Last Name:SORENSEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:TASHAUNA
Other - Middle Name:NICOLE
Other - Last Name:KNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7197 PINE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2811
Mailing Address - Country:US
Mailing Address - Phone:402-556-1883
Mailing Address - Fax:
Practice Address - Street 1:7811 PARK VIEW BLVD
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3921
Practice Address - Country:US
Practice Address - Phone:402-301-0594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist