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Torrie Patrice Clontz

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as TORRIE CLONTZ.

Based on the most recent information from CMS, provider Torrie Patrice Clontz 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
1972235638
Provider Type
Individual
Full Name
Clontz, Torrie Patrice
Title
Dr.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/30/2022
Last Updated
6/30/2022

Contact Information

Practice Location

620 Shadow Ln, Las Vegas, NV 89106-4119

(702) 388-4000

Unlisted Fax

Mailing Location

9433 Valley Hills Ave, Las Vegas, NV 89134-0152

(562) 665-5770

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 856877 Nevada

Torrie Patrice Clontz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Lero, Lili S

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Sweatt, Yuko H

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Gusman, Hazel T.

Mahajan, Amber Nicole