Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanoeun Nan

Individual provider Family Nurse Practitioner · NPI 1356887376

Sanoeun Nan is a Nurse Practitioner in Henderson, Nevada. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
10
Licensed in
NV
In the registry since
2017
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Practice location Address checks out

10652 S Eastern Ave
Henderson, NV 89052-4952
Phone: (702) 476-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 002433 (NV)

Record details

NPI number1356887376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2017
Last updated in NPPESDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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