Individual ProviderEvie-Noel TafunaiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address204 E 19th St, Panama City, FL 32405-4707(850) 763-5409PECOS EnrollmentBased on the most recent information from CMS, provider Evie-Noel Tafunai 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 2 days ago.Profile DetailsProvider ID1801593934Provider TypeIndividualFull NameTafunai, Evie-NoelCredentialAPRN-CGenderFemaleSole ProprietorNoEnumeration Date2/9/2023Last Updated3/27/2023Contact InformationPractice LocationPractice Address204 E 19th St, Panama City, FL 32405-4707Phone(850) 763-5409FaxUnlisted FaxMailing LocationMailing Address3728 Benbow St, Panama City Beach, FL 32408-6807PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11024018Florida