Healthcare Provider Details

I. General information

NPI: 1407589583
Provider Name (Legal Business Name): SHARDAY L. HUNTER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10776 PAGET CT
LAS VEGAS NV
89166-8101
US

IV. Provider business mailing address

631 4TH AVE UNIT 4013
BROOKLYN NY
11232-1001
US

V. Phone/Fax

Practice location:
  • Phone: 332-291-6033
  • Fax:
Mailing address:
  • Phone: 332-291-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number857780
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number95258393
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN9557537
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number857780
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: