Provider Demographics
NPI:1952844664
Name:MOORJANI, SHIRLEY (APRN)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:MOORJANI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 S MARYLAND PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1580
Mailing Address - Country:US
Mailing Address - Phone:702-703-1950
Mailing Address - Fax:702-442-9793
Practice Address - Street 1:2870 S MARYLAND PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1580
Practice Address - Country:US
Practice Address - Phone:702-703-1950
Practice Address - Fax:702-442-9793
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV002031363LP0808X
NVAPRN002031363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health