Amber Nicole Mahajan | Las Vegas, NV • PECOS Search

Amber Nicole Mahajan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2020 Wellness Way, Suite 300, Las Vegas, NV 89106

PECOS Enrollment

Based on the most recent information from CMS, provider Amber Nicole Mahajan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1992368724
Provider Type
Individual
Full Name
Mahajan, Amber Nicole
Title
Mrs.
Credential
APRN, FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/17/2019
Last Updated
4/17/2019

Contact Information

Practice Location

2020 Wellness Way, Suite 300, Las Vegas, NV 89106

Unlisted Fax

Mailing Location

2020 Wellness Way, Suite 300, Las Vegas, NV 89106

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 810139 Nevada