MEDICARE: HEYAW A AMENE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	835182	NV

General Provider Information

NPI Number	:	1447997325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEYAW A AMENE

Provider Business Mailing Address
First Line	:	8551 W LAKE MEAD BLVD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7642
Country	:	US
Telephone Number	:	725-300-0603
Fax Number	:	702-560-7563

Provider Business Practice Location Address
First Line	:	9333 W SUNSET RD STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4845
Country	:	US
Telephone Number	:	725-745-5864
Fax Number	:	725-745-2014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	02/12/2026

Similar Medicare Providers

1134081870 — DARYA KLIMEK FNP
Practice Location Address:

9333 W SUNSET RD STE A
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89148-4845

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1295330462 — SAMANTHA GEORGE LAUB PA-C
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1104804756 — JAMES A. BOESIGER PA-C
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9327 W SUNSET RD
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1366552176 — JEDEDIAH W JONES MD
Practice Location Address:

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1033385307 — DR. CHARLIE NAHM MD
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1699934927 — HAND SURGERY SPECIALISTS OF NEVADA YOUNG LLP
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Directions to “ HEYAW A AMENE ” Practice Location

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