Organization
SIERRA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNNA M SHORT APRN (OWNER)
(513) 545-4745
Entity
Organization
Contact information
Practice address
1694 WICKLOW WAY, HENDERSON, NV 89014-6048
(702) 446-0399
(725) 251-5211
Mailing address
1694 WICKLOW WAY, HENDERSON, NV 89014-6048
(513) 545-4745
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/04/2020
Last updated
12/14/2020
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