Look up the most recent NPI and PECOS records

Princess Pangilinan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

801 S Rancho Dr Ste B1b, Las Vegas, NV 89106-3871

PECOS Enrollment

Based on the most recent information from CMS, provider Princess Pangilinan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1497432785
Provider Type
Individual
Full Name
Pangilinan, Princess
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/29/2023
Last Updated
6/29/2023

Contact Information

Practice Location

801 S Rancho Dr Ste B1b, Las Vegas, NV 89106-3871

(702) 490-2398

(702) 912-2273

Mailing Location

8317 Spanish Creek Ct, Las Vegas, NV 89113-4688

(818) 943-9059

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 866562 Nevada

Princess Pangilinan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Yap, Sienalyn Viray

Reyes, Marilou

Bartmus, Terry Lynn

Rivers, Janiece

Planck, Spencer

Davis, Erin

Galgana, Dianne Lynn

Sturdivant, Eric

Armour, Justin

Grady, Lilnetra