Healthcare Provider Details
I. General information
NPI: 1326462011
Provider Name (Legal Business Name): HONG YE HUANG APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/14/2014
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6900 N PECOS RD
NORTH LAS VEGAS NV
89086-4400
US
IV. Provider business mailing address
10606 SAN PALATINA ST
LAS VEGAS NV
89141-3986
US
V. Phone/Fax
- Phone: 702-791-9000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN001685 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: