Individual ProviderNannina LeoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194(702) 451-7542PECOS EnrollmentBased on the most recent information from CMS, provider Nannina Leo 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 4 days ago.Profile DetailsProvider ID1417424565Provider TypeIndividualFull NameLeo, NanninaGenderFemaleSole ProprietorNoEnumeration Date10/26/2018Last Updated6/11/2019Contact InformationPractice LocationPractice Address2255 Renaissance Dr Ste A, Las Vegas, NV 89119-6194Phone(702) 451-7542FaxUnlisted FaxMailing LocationMailing Address2255 Renaissance Dr, Las Vegas, NV 89119-6193Phone(702) 451-7542FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseIC-1324NevadaProvider IdentifiersIDDescriptionIssuerIDIC-1324DescriptionOtherIssuerLSW LICENSENevada