Individual ProviderHazel T. GusmanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address701 Shadow Ln Ste 200, Las Vegas, NV 89106-4178(702) 383-2691PECOS EnrollmentBased on the most recent information from CMS, provider Hazel T. Gusman 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 2 days ago.Profile DetailsProvider ID1457217721Provider TypeIndividualFull NameGusman, Hazel T.CredentialCNPGenderFemaleSole ProprietorYesEnumeration Date12/31/2025Last Updated12/31/2025Contact InformationPractice LocationPractice Address701 Shadow Ln Ste 200, Las Vegas, NV 89106-4178Phone(702) 383-2691FaxUnlisted FaxMailing LocationMailing Address7431 Lassen Peak Cir, Las Vegas, NV 89149-1912PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense896849Nevada