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Heather Leann Harris

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as HEATHER HARRIS.

Based on the most recent information from CMS, provider Heather Leann Harris is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not 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
1912379223
Provider Type
Individual
Full Name
Harris, Heather Leann
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/26/2015
Last Updated
7/5/2018

Contact Information

Practice Location

9300 W Sunset Rd, Las Vegas, NV 89148

(702) 823-4255

Unlisted Fax

Mailing Location

10830 Broxden Junction Ave, Las Vegas, NV 89166-5133

(702) 498-4452

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN002064 Nevada

Heather Leann Harris

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Quijano Pangan Pllc

Nara, Mary M

Lacayo, Liliana

Quien, Kimberly Blythe Alanis

Evans, Regina Ann

Dinehart, Kayoko

Diamos, Rosemarie Malcampo

Holcomb, Malarie Q

Wasserman, Tasha

Jimenez, Jennica