Organization
LLN02 LLC
Active
Organization
LLN02 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA L NGUYEN (CEO)
(725) 264-8686
Entity
Organization
Contact information
Practice address
129 W LAKE MEAD PKWY STE 8, HENDERSON, NV 89015-7055
(702) 285-8311
(877) 409-1697
Mailing address
1906 THUNDER RIDGE CIR, HENDERSON, NV 89012-2206
(405) 881-6822
(877) 409-1697
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/28/2022
Last updated
05/11/2026
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