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Anansa Katrina Go

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

921 W Owens Ave Ste 150, Las Vegas, NV 89106-5405

PECOS Enrollment

This provider is enrolled in PECOS as ANANSA GO.

Based on the most recent information from CMS, provider Anansa Katrina Go 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
1730662909
Provider Type
Individual
Full Name
Go, Anansa Katrina
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/12/2018
Last Updated
1/3/2023

Contact Information

Practice Location

921 W Owens Ave Ste 150, Las Vegas, NV 89106-5405

(725) 269-3364

(725) 269-3366

Mailing Location

102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 811536 Nevada

Anansa Katrina Go

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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