MEDICARE: SHAWOND NICOLE GIVENS

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1811845357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWOND NICOLE GIVENS

Provider Business Mailing Address
First Line	:	10695 DEAN MARTIN DR UNIT 1002
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3560
Country	:	US
Telephone Number	:	702-633-5096
Fax Number	:	702-633-7028

Provider Business Practice Location Address
First Line	:	570 W CHEYENNE AVE STE 10
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-3931
Country	:	US
Telephone Number	:	702-633-5096
Fax Number	:	702-633-7028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “ SHAWOND NICOLE GIVENS ” Practice Location

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