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Shana M Holman, PA-C
Medical Physician Assistant in Las Vegas, Nevada
NPI 1881745081

Shana M Holman is a Medical Physician Assistant based in Las Vegas, NV and is specialized in Medical. Shana M Holman practices in Las Vegas, NV and has the professional credentials of PA-C. The NPI Number for Shana M Holman is 1881745081 and holds a License No. PA1018 (Nevada).

The current practice location address for Shana M Holman is 2704 N Tenaya Way, Las Vegas, NV and can be reached out via phone at 702-243-8500 and via fax at 702-363-8753.

Location: 2704 N Tenaya Way, Las Vegas, NV, 89114-5645
person
Provider Profile Details
NPI Number
1881745081
Provider Name
Shana M Holman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2704 N Tenaya Way, Las Vegas, NV, 89114-5645
Phone Number
702-243-8500
Fax Number
702-363-8753
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881745081 01 NV MEDICAID - SMA
PA662 01 AL STATE LICENSE
116033 05 AL
V108405 01 NV SMACC MEDICARE
650622859 01 AL TAX ID
PA1018 01 NV NEVADA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
2704 N Tenaya Way
City
State
Zip
89128-0424
Phone Number
702-243-8500
Fax Number
702-363-8753
person
Provider Business Mailing Address Details
Address
2704 N Tenaya Way
City
State
Zip
89128-0424
Phone Number
702-243-8500
Fax Number
702-363-8753
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1018 (Nevada)
Definition
Definition to come...
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