Healthcare Provider Details

I. General information

NPI: 1225424831
Provider Name (Legal Business Name): IZUCHUKWU E ATUEYI FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 N PECOS RD STE 120
HENDERSON NV
89074-1918
US

IV. Provider business mailing address

283 N PECOS RD STE 120
HENDERSON NV
89074-1918
US

V. Phone/Fax

Practice location:
  • Phone: 702-357-5814
  • Fax: 833-455-7279
Mailing address:
  • Phone: 702-357-5814
  • Fax: 833-455-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberNPF95028943
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138819
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number347334
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: