Fearnley, Shana

Fearnley, Shana is an individual health care provider with primary practice located at 9990 Double R Blvd Ste 200 , Reno NV 89521-4833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Fearnley, Shana can be contacted via phone (775) 348-8800.

Contact Information

Primary practice address
9990 Double R Blvd Ste 200 Reno NV 89521-4833
Phone: (775) 348-8800
Fax: (775) 348-8818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA730 Nevada

Profile Details

NPI number 1861480642
LBN Legal business name Fearnley, Shana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Aug 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861480642 NPPES
Other 11426227 CAQH
MEDICAID 1861480642 CAQH

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