Individual ProviderFaith SantosNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870(702) 483-3630PECOS EnrollmentBased on the most recent information from CMS, provider Faith Santos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013608371Provider TypeIndividualFull NameSantos, FaithCredentialNPGenderFemaleSole ProprietorNoEnumeration Date5/17/2023Last Updated5/17/2023Contact InformationPractice LocationPractice Address801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870Phone(702) 483-3630FaxUnlisted FaxMailing LocationMailing Address801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870Phone(702) 483-3630FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense865490Nevada