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NPI Code Detail

MEDICARE: SHANNON IRENE DRAKE-FERGUSON

MEDICARE: SHANNON IRENE DRAKE-FERGUSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1114860293
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON IRENE DRAKE-FERGUSON
Provider Business Mailing Address
First Line : 400 S 4TH ST STE 500
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6207
Country : US
Telephone Number : 702-703-6386
Fax Number : 702-703-6386
Provider Business Practice Location Address
First Line : 400 S 4TH ST STE 500
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6207
Country : US
Telephone Number : 702-703-6386
Fax Number : 702-703-6386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ SHANNON IRENE DRAKE-FERGUSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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