Individual
MS. SHANNON LESLEE ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCRD
Contact information
Practice address
6850 N DURANGO DR, STE 301, LAS VEGAS, NV 89149-4595
(702) 641-8500
(702) 641-8502
Mailing address
PO BOX 33166, LAS VEGAS, NV 89133-3166
(702) 641-8500
(702) 641-8502
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
RN13811
NV
163W00000X
Registered Nurse
RN 13811
NV
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN13811
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100500484
GROUP MEDICIAD
NV
01
—
RDCDE
CERTIFIED DIABETES EDUCAT
NV
01
—
RN13811
REGISTERED NURSE
NV
Enumeration date
05/02/2007
Last updated
02/06/2013
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