Provider Demographics
NPI:1730075078
Name:NAULLS, LUNDYEN CHEYENNE
Entity type:Individual
Prefix:
First Name:LUNDYEN
Middle Name:CHEYENNE
Last Name:NAULLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E UNIVERSITY AVE APT 230
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5844
Mailing Address - Country:US
Mailing Address - Phone:702-819-6713
Mailing Address - Fax:
Practice Address - Street 1:1600 E UNIVERSITY AVE APT 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5844
Practice Address - Country:US
Practice Address - Phone:702-819-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide