Look up the most recent NPI and PECOS records

Evangeline Auyong De Guzman-Delaluz

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9280 W Sunset Rd Ste 410, Las Vegas, NV 89148-4862

PECOS Enrollment

This provider is enrolled in PECOS as EVANGELINE DE GUZMAN-DELALUZ.

Based on the most recent information from CMS, provider Evangeline Auyong De Guzman-Delaluz 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1750150215
Provider Type
Individual
Full Name
De Guzman-Delaluz, Evangeline Auyong
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/26/2023
Last Updated
11/26/2024

Contact Information

Practice Location

9280 W Sunset Rd Ste 410, Las Vegas, NV 89148-4862

(702) 490-2398

Unlisted Fax

Mailing Location

840 Teal Wing Way, Henderson, NV 89002-9606

(702) 808-7335

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 824574 Nevada
Code 163WH0200X	Description Registered Nurse Nursing Service Providers	License 824574 Nevada

Evangeline Auyong De Guzman-Delaluz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

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Code

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