Healthcare Provider Details

I. General information

NPI: 1649068511
Provider Name (Legal Business Name): NAFISHA SHABNAM SHELDON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10345 PROFESSIONAL CIR STE 125
RENO NV
89521-3100
US

IV. Provider business mailing address

3383 CULPEPPER DR
SPARKS NV
89434-9214
US

V. Phone/Fax

Practice location:
  • Phone: 775-348-7300
  • Fax:
Mailing address:
  • Phone: 209-679-8853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number830788
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: