Healthcare Provider Details

I. General information

NPI: 1306310354
Provider Name (Legal Business Name): NONI HAYMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NONI HAYMAN DNP, APRN

II. Dates (important events)

Enumeration Date: 01/13/2019
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 W LAKE MEAD PKWY STE 120
HENDERSON NV
89015-7417
US

IV. Provider business mailing address

390 W LAKE MEAD PKWY STE 120
HENDERSON NV
89015-7417
US

V. Phone/Fax

Practice location:
  • Phone: 725-220-8477
  • Fax:
Mailing address:
  • Phone: 725-220-8477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN811893
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number811893
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: