Isom, Shannon Leslee
Isom, Shannon Leslee is an individual health care provider with primary practice located at 6850 N Durango Dr Ste 301, Las Vegas NV 89149-4595. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Isom, Shannon Leslee can be contacted via phone (702) 641-8500.Contact Information
Primary practice address
6850 N Durango Dr Ste 301
Las Vegas NV 89149-4595
Phone: (702) 641-8500
Fax: (702) 641-8502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | RN13811 | Nevada |
Nursing Service Providers / Registered Nurse | 163W00000X | RN 13811 | Nevada |
Nursing Service Providers / Diabetes Educator | 163WD0400X | RN13811 | Nevada |
Profile Details
NPI number | 1184846107 |
---|---|
LBN Legal business name | Isom, Shannon Leslee |
Credentials | RNCRD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Feb 6th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184846107 | NPPES |
Nevada | Other | RN13811 | REGISTERED NURSE |
Nevada | Other | 100500484 | REGISTERED NURSE |
Nevada | Other | RDCDE | REGISTERED NURSE |
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