Individual
MARGARITA S SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1302 W CRAIG RD, N LAS VEGAS, NV 89032-0246
(702) 657-9555
(702) 657-9040
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
60101218
WA
363AM0700X
Medical Physician Assistant
Primary
PA2210
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255732483
—
NV
01
—
PA2210
STATE LICENSE
NV
Enumeration date
09/08/2014
Last updated
01/06/2025
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