Individual
ELIZABETH SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 N NELLIS BLVD, LAS VEGAS, NV 89110-5368
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0767
NV
363A00000X
Physician Assistant
Primary
PA3405
NV
363A00000X
Physician Assistant
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA0767
NSBOM
NV
01
—
PA3405
NSBME
NV
Enumeration date
12/02/2025
Last updated
05/11/2026
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