MEDICARE: SHARDAY LASHAWN HUNTER 857780 PLLC

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
1	163WC0400X	Case Management Registered Nurse

General Provider Information

NPI Number	:	1740177724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARDAY LASHAWN HUNTER 857780 PLLC

Provider Business Mailing Address
First Line	:	631 4TH AVE # 4013
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-1001
Country	:	US
Telephone Number	:	332-291-6033
Fax Number	:

Provider Business Practice Location Address
First Line	:	10776 PAGET CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-8101
Country	:	US
Telephone Number	:	702-574-2362
Fax Number	:

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

Provider Enumeration Date	:	06/21/2025
Last Update Date	:	06/21/2025

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