Individual ProviderElizabeth PattisonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613(702) 476-4900(714) 496-5130PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Pattison is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1619723756Provider TypeIndividualFull NamePattison, ElizabethCredentialFNP-BCGenderFemaleSole ProprietorYesEnumeration Date4/29/2024Last Updated9/2/2024Contact InformationPractice LocationPractice Address6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613Phone(702) 476-4900FaxUnlisted FaxMailing LocationMailing Address6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613Phone(714) 496-5130FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense824182NevadaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense824182Nevada