Basic Information
| Provider Information | |||||||||
| NPI: | 1770899833 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUO | ||||||||
| FirstName: | PEIHONG | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 61 NORTH NELLIS BLVD. | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023836250 | ||||||||
| FaxNumber: | 7024598497 | ||||||||
| Practice Location | |||||||||
| Address1: | 61 NORTH NELLIS BLVD. | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023836250 | ||||||||
| FaxNumber: | 7024598497 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2010 | ||||||||
| LastUpdateDate: | 08/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 307966 | OH | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 814694 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.