Healthcare Provider Details

I. General information

NPI: 1447112628
Provider Name (Legal Business Name): SHONA FAYE PARIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3206 RAASCH DR STE 300
NORFOLK NE
68701-3175
US

IV. Provider business mailing address

925 E 4TH ST
FREMONT NE
68025-5213
US

V. Phone/Fax

Practice location:
  • Phone: 402-379-3888
  • Fax:
Mailing address:
  • Phone: 402-719-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: