Individual provider · Type 1 NPI

Shane A. Durham, NP-C

Nurse Practitioner · Las Vegas, NV

NPI number 1194264689 Active

Practice location

8680 W Cheyenne Ave
Las Vegas, NV 89129-7458

Call (702) 877-5199 Map

Mailing address

PO Box 98978
Las Vegas, NV 89193-8978

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	APRN002474 (NV)
Nurse Practitioner Primary	363L00000X	APRN002474 (NV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194264689

Shane A. Durham, NP-C's National Provider Identifier is 1194264689, issued on Feb 16, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 26, 2026.