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Iris Buenaventura Malig

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2020 Wellness Way Ste 300, Las Vegas, NV 89106-4145

PECOS Enrollment

This provider is enrolled in PECOS as IRIS MALIG.

Based on the most recent information from CMS, provider Iris Buenaventura Malig 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
1932970662
Provider Type
Individual
Full Name
Malig, Iris Buenaventura
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
1/11/2024
Last Updated
5/22/2024

Contact Information

Practice Location

2020 Wellness Way Ste 300, Las Vegas, NV 89106-4145

(702) 432-2233

(702) 800-5456

Mailing Location

1930 Village Center Cir Ste 3-717, Las Vegas, NV 89134-6299

(702) 432-2233

(702) 800-5456

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 875012 Nevada
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN50432 Nevada

Provider Identifiers

ID	Description	Issuer
ID 16117083	Description Other	Issuer CAQH ID Nevada
ID 250030173	Description Medicaid	Issuer Unlisted Nevada

Iris Buenaventura Malig

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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