SHAWNNA MARIA SHORT


Address: 1694 Wicklow Way, Henderson, NV 89014-6048
Phone: 5135454745

SHAWNNA MARIA SHORT (NPI# 1962715946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962715946
Entity Type Individual
Full Name SHAWNNA MARIA SHORT
Credential MSN, APRN, FNP-C
Practice Address 1694 Wicklow Way
Henderson
NV 89014-6048
Mailing Address 7021 Saddle Back Peak St
Las Vegas
NV 89166-7127
Practice Telephone 5135454745
Mailing Telephone 7023287594
Mailing Fax Number 7029984052
Enumeration Date 2010-07-20
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 341372 OH Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN002711 NV Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
18092 OH Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7021 Saddle Back Peak St, Las Vegas, NV 891667127 7023287594 7029984052

Office Location

Street Address 1694 WICKLOW WAY
City HENDERSON
State NV
Zip Code 89014-6048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588288617 Sierra Wellness LLC Nurse Practitioner 1694 Wicklow Way, Henderson, NV 89014-6048 2020-06-04

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NPI Name Taxonomy Address Enumeration
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1235794595 Marquise D Dennis Prosthetist 1520 W. Sunset Rd, Henderson, NV 89014 2019-05-02
1609359165 Kenisha Voncille Thomas Family Medicine 1520 W Sunset Rd Ste 130, Henderson, NV 89014 2018-09-11
1841716727 Logan Bretney Physical Therapist 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 2017-08-22
1912421280 Alan Joseph Sevy Dentist 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 2017-07-28
1659805307 Ann Marie Echevarria Behavior Technician 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 2017-04-19
1366838997 Ladwana Retic, Lcsw LLC Case Management 1514 Tree Top Ct, Henderson, NV 89014 2015-04-10
1073958393 Ashlyn Call Physician Assistant 1397 Galleria Dr Ste 100, Henderson, NV 89014 2013-04-30
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083227870 Raven Nicole Pirtle Nurse Practitioner 1245 Glenshiel Dr, Henderson, KY 42420-2529 2020-08-31
1811509359 Kristi Lynn Navarette Nurse Practitioner 3058 Hushed Sonnet Ave, Henderson, NV 89044-0558 2020-08-17
1275143711 Kristyn Cisilino Nurse Practitioner 2556 Chateau Clermont St, Henderson, NV 89044-0459 2020-08-07
1972113363 Rini Susan Mathews Nurse Practitioner 3396 Dalmore St, Henderson, NV 89044-1722 2020-07-31
1033735014 Savinder Kaur Virk Nurse Practitioner 10747 Shasta Glow Ct, Henderson, NV 89052-8691 2020-06-24
1811517022 D Ana Curtis Nurse Practitioner 815 Chameleon Star Ave, Henderson, NV 89015-2411 2020-04-17
1275169013 Joyce Carlos Damiano Nurse Practitioner 2839 Saint Rose Pkwy Ste 130, Henderson, NV 89052-4849 2020-03-12
1568008878 Oliver Torrefranca Nurse Practitioner 910 Monte Etna Ave, Henderson, NV 89012-2654 2019-11-21
1568006864 Melissa Ann Ridella Nurse Practitioner 1748 W Horizon Ridge Pkwy, Henderson, NV 89012-4833 2019-10-30
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Competitor

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City HENDERSON
Zip Code 89014

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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