Healthcare Provider Details

I. General information

NPI: 1164346193
Provider Name (Legal Business Name): MARY ANN YAP YEUNG FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

9824 BELLE MARIE CT
LAS VEGAS NV
89141-8658
US

IV. Provider business mailing address

9824 BELLE MARIE CT
LAS VEGAS NV
89141-8658
US

V. Phone/Fax

Practice location:
  • Phone: 681-207-6002
  • Fax:
Mailing address:
  • Phone: 681-207-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number830253
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: