MEDICARE: AMMAR HUSSAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	893188	NV

General Provider Information

NPI Number	:	1659245298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMMAR HUSSAIN

Provider Business Mailing Address
First Line	:	8362 BISMARK SAPPHIRE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4060 NORTH MARTIN LUTHER KING BLVD. #101A
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032
Country	:	US
Telephone Number	:	702-380-1712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	02/03/2026

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Directions to “ AMMAR HUSSAIN ” Practice Location

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