Healthcare Provider Details

I. General information

NPI: 1619448289
Provider Name (Legal Business Name): WAYNE SEARE APRN, DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 WELLNESS WAY STE 300
LAS VEGAS NV
89106-4145
US

IV. Provider business mailing address

1930 VILLAGE CENTER CIR STE 3-717
LAS VEGAS NV
89134-6299
US

V. Phone/Fax

Practice location:
  • Phone: 702-432-2233
  • Fax: 702-800-5456
Mailing address:
  • Phone: 702-432-2233
  • Fax: 702-800-5456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number816226
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number816226
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number816226
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: