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

Eun Ae Sung

Individual provider Family Nurse Practitioner · NPI 1366971194

Eun Ae Sung is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Practices with Shahab Mokhtare Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2017

Practice location Address checks out

9811 W Charleston Blvd # 2-441
Las Vegas, NV 89117-7528
Phone: (702) 420-7704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN002245 (NV)

Record details

NPI number1366971194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESJune 6, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shahab Mokhtare Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Las Vegas