Provider Demographics
NPI:1912629544
Name:VARGAS, SHAMAICA VERONICA (DNP, AGACNP/FNP-BC)
Entity type:Individual
Prefix:
First Name:SHAMAICA
Middle Name:VERONICA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:DNP, AGACNP/FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 N NELLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-5382
Mailing Address - Country:US
Mailing Address - Phone:702-790-8000
Mailing Address - Fax:702-684-7583
Practice Address - Street 1:650 N NELLIS BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-5382
Practice Address - Country:US
Practice Address - Phone:702-790-8000
Practice Address - Fax:702-684-7583
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV858281363LF0000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine