Search › Nevada › 3747P1801X

Destiny Shaw

NPI 1942163951 · on the registry since 2025

Practice

Address
10636 Lomaland Ave
Las Vegas, NV 89166
Phone
(702) 763-7812

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada