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Maria Jill Buena Alfonso

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1330 Karen Ave, Las Vegas, NV 89169-1260

PECOS Enrollment

This provider is enrolled in PECOS as MARIA JILL ALFONSO.

Based on the most recent information from CMS, provider Maria Jill Buena Alfonso 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 today at 10:46 AM.

Profile Details

Provider ID
1982332227
Provider Type
Individual
Full Name
Alfonso, Maria Jill Buena
Credential
APRN, FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/14/2022
Last Updated
8/14/2022

Contact Information

Practice Location

1330 Karen Ave, Las Vegas, NV 89169-1260

(702) 625-0022

Unlisted Fax

Mailing Location

3044 Ocean Port Dr, Las Vegas, NV 89117-0210

(702) 612-8711

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN56862 Nevada

Maria Jill Buena Alfonso

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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