Provider Demographics
NPI:1518673706
Name:SHAPPEE, CECILLE DEL ROSARIO (CNP)
Entity Type:Individual
Prefix:
First Name:CECILLE
Middle Name:DEL ROSARIO
Last Name:SHAPPEE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:CECILLE
Other - Middle Name:TAPAWAN
Other - Last Name:DEL ROSARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 W. CHARLESTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2149
Mailing Address - Country:US
Mailing Address - Phone:702-724-8787
Mailing Address - Fax:
Practice Address - Street 1:2300 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2149
Practice Address - Country:US
Practice Address - Phone:702-724-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV860979363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner