Individual ProviderTonya AndersonTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy # 418b, Las Vegas, NV 89109-1554(702) 463-7779PECOS EnrollmentBased on the most recent information from CMS, provider Tonya Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376024596Provider TypeIndividualFull NameAnderson, TonyaGenderFemaleSole ProprietorYesEnumeration Date8/25/2018Last Updated7/20/2019Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy # 418b, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address2032 Fred Brown Dr, Las Vegas, NV 89106-2456PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer