Shane A Durham
NP-C | Nurse Practitioner - Family | 9+ years Exp
1000 S Rainbow Blvd, Las Vegas
Nevada, 89145-6231
702-479-4881
Shane A Durham is a Las Vegas, Nevada based nurse practitioner with 9 years of experience in Family. He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shane A Durham is APRN002474 in Nevada. His current practice location is 1000 S Rainbow Blvd, Las Vegas. Patients can reach him at 702-479-4881 or can fax him at 702-966-8662. Shane A Durham is NP-C with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1194264689.
Shane A Durham delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Shane A Durham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shane A Durham |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | NP-C |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1000 S Rainbow Blvd, Las Vegas,
Nevada, 89145-6231 |
| Phone: | 702-479-4881 |
| Fax: | 702-966-8662 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2365727047 |
| Enrollment ID: | I20170320001605 |
| NPI Number: | 1194264689 |
| NPI Enumeration Date: | 16 Feb, 2017 |
| NPI Last Update On: | 03 Jan, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shane A Durham are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN002474 | | Nevada | Primary | |
| APRN002474 | Family | Nevada | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shane A Durham is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Dispatchhealth Nv Wagner Pc (5193090298) | 51 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shane A Durham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1194264689 | Medicaid | Nevada | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shane A Durham
Po Box 98978,
Las Vegas, Nevada |
| Zip: | 89193-8978 |
| Phone Number: | 702-216-3346 |
| Fax Number: | 702-671-6883 |
Patients can reach Shane A Durham at
1000 S Rainbow Blvd, Las Vegas, Nevada or can
call to book an appointment on 702-479-4881.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.