Healthcare Provider Details

I. General information

NPI: 1700740578
Provider Name (Legal Business Name): SHAWNA APOSTOLEC APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2161 NV 160
PAHRUMP NV
89048
US

IV. Provider business mailing address

2161 NV 160
PAHRUMP NV
89048
US

V. Phone/Fax

Practice location:
  • Phone: 775-877-9500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number896444
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: