Individual ProviderCamille AgbuyaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2000 Wellness Way, Las Vegas, NV 89106-4113(702) 384-5101PECOS EnrollmentBased on the most recent information from CMS, provider Camille Agbuya 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 ID1013661495Provider TypeIndividualFull NameAgbuya, CamilleGenderFemaleSole ProprietorNoEnumeration Date2/4/2022Last Updated5/12/2022Contact InformationPractice LocationPractice Address2000 Wellness Way, Las Vegas, NV 89106-4113Phone(702) 384-5101Fax(702) 382-5675Mailing LocationMailing AddressPO Box 81345, Las Vegas, NV 89180-1345Phone(702) 384-5101Fax(702) 382-5675Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense851390NevadaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN86653Nevada