Individual ProviderMark QuiamzonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9205 W Russell Rd Ste 240, Las Vegas, NV 89148-1425(702) 499-0589PECOS EnrollmentBased on the most recent information from CMS, provider Mark Quiamzon 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 ID1386989978Provider TypeIndividualFull NameQuiamzon, MarkTitleDr.CredentialDNP, APRNGenderMaleSole ProprietorYesEnumeration Date12/7/2012Last Updated12/20/2017Contact InformationPractice LocationPractice Address9205 W Russell Rd Ste 240, Las Vegas, NV 89148-1425Phone(702) 499-0589Fax(702) 442-9898Mailing LocationMailing Address9205 W Russell Rd Ste 240, Las Vegas, NV 89148-1425Phone(702) 499-0589Fax(702) 442-9898Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN001485Nevada