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Maria Roma Paula Penuela Delarrazabal

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

888 S Rancho Dr, Las Vegas, NV 89106-3810

PECOS Enrollment

This provider is enrolled in PECOS as MARIA ROMA PAULA DELARRAZABAL.

Based on the most recent information from CMS, provider Maria Roma Paula Penuela Delarrazabal 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
1932874195
Provider Type
Individual
Full Name
Delarrazabal, Maria Roma Paula Penuela
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/10/2021
Last Updated
12/4/2024

Contact Information

Practice Location

888 S Rancho Dr, Las Vegas, NV 89106-3810

(702) 877-5199

Unlisted Fax

Mailing Location

PO Box 35380, Las Vegas, NV 89133-5380

(702) 383-6210

(702) 435-7050

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 821371 Nevada
Code 163WE0003X	Description Registered Nurse Nursing Service Providers	License RN55370 Nevada

Maria Roma Paula Penuela Delarrazabal

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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