Individual
STEPHANIE ANN SHIBATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 N GIBSON RD STE 311, HENDERSON, NV 89011-1708
(027) 768-3007
(702) 776-8408
Mailing address
825 N GIBSON RD STE 311, HENDERSON, NV 89011-1708
(702) 776-8300
(702) 776-8408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1480
NV
Other
Enumeration date
12/26/2013
Last updated
05/27/2024
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