Rumble, Shannon K

Rumble, Shannon K is an individual health care provider with primary practice located at 6630 S Mccarran Blvd Suite A4, Reno NV 89509-6158. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rumble, Shannon K can be contacted via phone (775) 828-2873.

Contact Information

Primary practice address
6630 S Mccarran Blvd Suite A4 Reno NV 89509-6158
Fax: (775) 828-2889
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN00872 Nevada

Profile Details

NPI number 1518924554
LBN Legal business name Rumble, Shannon K
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 20th, 2010 - about 14 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 1518924554 NPPES
Nevada MEDICAID 1000507788
Nevada Other 11580703

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