| Tiana Dalereca Hubbard, ANP | |
|
3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 | |
| (314) 406-9081 | |
| (702) 789-0717 |
| Full Name | Tiana Dalereca Hubbard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 3450 W Cheyenne Ave, North Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518273317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | APRN002430 (Nevada) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 2010027053 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Khakwani Medical Corporation Pc | 7214207141 | 12 |
| Entity Name | Khakwani Medical Corporation Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801304043 PECOS PAC ID: 7214207141 Enrollment ID: O20170725002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiana Dalereca Hubbard, ANP 3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 Ph: (314) 406-9081 | Tiana Dalereca Hubbard, ANP 3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 Ph: (314) 406-9081 |
Geovanee Santiago Laya, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Civic Center Dr, North Las Vegas, NV 89030 Phone: 702-485-2345 | |
Erickson Nery, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4755 W Ann Rd, North Las Vegas, NV 89031 Phone: 866-389-2727 | |
Athena Aro Nguyen, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7301 Sunray Point St, North Las Vegas, NV 89084 Phone: 818-403-8108 | |
Francisco Perez Sanchez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1820 E Lake Mead Blvd Ste M, North Las Vegas, NV 89030 Phone: 702-475-4352 | |
Sharlynne Anne Maucesa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Mrs. Michelle Lassiter-stephens, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1542 Visible Ave, North Las Vegas, NV 89031 Phone: 404-789-5063 | |
Daisel Guevara Gonzalez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1820 E Lake Mead Blvd Ste M, North Las Vegas, NV 89030 Phone: 702-475-4352 |