Individual
SHANA FEARNLEY
Active
Individual
SHANA FEARNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA730
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11426227
CAQH
—
05
—
1861480642
—
NV
Enumeration date
10/06/2005
Last updated
08/25/2022
Update your record
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