Provider Demographics
NPI:1962048520
Name:PREYER, SHAYNE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SHAYNE
Middle Name:
Last Name:PREYER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:SHAYNE
Other - Middle Name:RAMOS
Other - Last Name:PREYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:525 MARKS ST.
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-383-6210
Mailing Address - Fax:702-435-7050
Practice Address - Street 1:525 MARKS ST.
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-383-6210
Practice Address - Fax:702-435-7050
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN61380163W00000X
NV826577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse