Healthcare Provider Details

I. General information

NPI: 1740177724
Provider Name (Legal Business Name): SHARDAY LASHAWN HUNTER 857780 PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2025
Last Update Date: 06/21/2025
Certification Date: 06/21/2025
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 # 4013
BROOKLYN NY
11232-1001
US

V. Phone/Fax

Practice location:
  • Phone: 702-574-2362
  • Fax:
Mailing address:
  • Phone: 332-291-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARDAY LASHAWN HUNTER
Title or Position: OWNER /REGISTERED NURSE
Credential: RN
Phone: 702-574-2362