Healthcare Provider Details

I. General information

NPI: 1346990918
Provider Name (Legal Business Name): LLOYZEL FAYE YUNG FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LLOYZEL FAYE BUSLIG

II. Dates (important events)

Enumeration Date: 03/26/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 WIGWAM PKWY STE 112
HENDERSON NV
89074-7113
US

IV. Provider business mailing address

2500 WIGWAM PKWY STE 112
HENDERSON NV
89074-7113
US

V. Phone/Fax

Practice location:
  • Phone: 702-914-6994
  • Fax:
Mailing address:
  • Phone: 702-914-6994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number852491
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: