Individual ProviderErin DavisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address888 S Rancho Dr, Las Vegas, NV 89106-3810(907) 966-2411(702) 877-5153PECOS EnrollmentBased on the most recent information from CMS, provider Erin Davis 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 yesterday at 9:43 AM.Profile DetailsProvider ID1285813592Provider TypeIndividualFull NameDavis, ErinCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date11/2/2007Last Updated12/4/2024Contact InformationPractice LocationPractice Address888 S Rancho Dr, Las Vegas, NV 89106-3810Phone(907) 966-2411FaxUnlisted FaxMailing LocationMailing AddressPO Box 35380, Las Vegas, NV 89133-5380Phone(702) 877-5153FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense831083NevadaCode163WC0200XDescriptionRegistered NurseNursing Service ProvidersLicense22224AlaskaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF12170073Alaska