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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1184846107 NPPES
Nevada Other RN13811 REGISTERED NURSE
Nevada Other 100500484 REGISTERED NURSE
Nevada Other RDCDE REGISTERED NURSE

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