Individual ProviderAmy Martine PfeifferNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3131 La Canada St, Suite 200, Las Vegas, NV 89169-2578(702) 216-3346PECOS EnrollmentBased on the most recent information from CMS, provider Amy Martine Pfeiffer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114222551Provider TypeIndividualFull NamePfeiffer, Amy MartineCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date1/16/2011Last Updated10/6/2015Contact InformationPractice LocationPractice Address3131 La Canada St, Suite 200, Las Vegas, NV 89169-2578Phone(702) 216-3346Fax(702) 671-6883Mailing LocationMailing AddressPO Box 98978, Las Vegas, NV 89193-8978Phone(702) 216-3346Fax(702) 671-6883Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN000943NevadaProvider IdentifiersIDDescriptionIssuerIDV111789DescriptionOtherIssuerSMA MEDICARENevadaIDPENDINGDescriptionMedicaidIssuerUnlistedNevada