Individual provider · Type 1 NPI

Shane Wakefield

Physician Assistant · Sparks, NV

NPI number 1487345823 Active

Practice location

2375 E Prater Way
Sparks, NV 89434-9641

Fax (775) 352-5303

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000XPA65106 (CA)
Physician Assistant Primary 363A00000XPA3190 (NV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487345823

Shane Wakefield's National Provider Identifier is 1487345823, issued on May 17, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sparks, NV. The record was last updated on Jul 23, 2026.