Individual
SHANNON SIGNORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1655 W HORIZON RIDGE PKWY, HENDERSON, NV 89012-3494
(702) 476-9999
Mailing address
2809 W CHARLESTON BLVD STE 150, LAS VEGAS, NV 89102-1998
(702) 476-9999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0699
NV
363A00000X
Physician Assistant
PA802
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396737235
—
NV
01
—
P00206437
MEDICARE RAILROAD
NV
Enumeration date
08/17/2005
Last updated
12/09/2024
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