Basic Information
| Provider Information | |||||||||
| NPI: | 1689949729 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NHOUNG | ||||||||
| FirstName: | LYN | ||||||||
| MiddleName: | LOEUM | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18752 E ASHRIDGE DR | ||||||||
| Address2: | |||||||||
| City: | QUEEN CREEK | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 851423663 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6029204416 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 S DOBSON RD | ||||||||
| Address2: | BUILDING A | ||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852245678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4807866655 | ||||||||
| FaxNumber: | 4807866996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2012 | ||||||||
| LastUpdateDate: | 08/01/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | AP4419 | AZ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.