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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

YANNIE BODDEN APRN PLLC
NPI 1295658011
Nurse Practitioner - Family in Las Vegas, NV

Active since July 30, 2026
4592 CLAY PEAK DR, LAS VEGAS, NV 89129(469) 915-4211 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yannie Bodden Aprn Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YANNIE BODDEN APRN PLLC (NPI 1295658011) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since July 2026. The organization lists Al Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1295658011
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameYANNIE BODDEN APRN PLLC
Location Address4592 CLAY PEAK DRLas Vegas, NV 89129-2217
Mailing Address4592 Clay Peak DrLas Vegas, NV 89129-2217
Phone(469) 915-4211
Organization SubpartNo
Authorized OfficialAl BerryManager · (469) 915-4211
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1295658011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4592 CLAY PEAK DR, Las Vegas, NV 89129
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yannie Bodden Aprn PLLC's NPI number?

The NPI number for Yannie Bodden Aprn PLLC is 1295658011. It was assigned to this organization in the NPPES registry on July 30, 2026.

Where is Yannie Bodden Aprn PLLC located?

Yannie Bodden Aprn PLLC is located at 4592 Clay Peak Dr, Las Vegas, NV 89129. The listed phone number is (469) 915-4211.

What is Yannie Bodden Aprn PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Yannie Bodden Aprn PLLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.