Provider Demographics
NPI:1932793528
Name:LEE, HYUNHWA (PHD, MSN, APRN)
Entity Type:Individual
Prefix:DR
First Name:HYUNHWA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PHD, MSN, APRN
Other - Prefix:DR
Other - First Name:HENNA
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21 CANDLEWYCK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6654
Mailing Address - Country:US
Mailing Address - Phone:734-717-1069
Mailing Address - Fax:
Practice Address - Street 1:21 CANDLEWYCK DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-6654
Practice Address - Country:US
Practice Address - Phone:734-717-1069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV80700163W00000X
NV001833363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse