MEDICARE: MARIA ELEANOR P CAYANAN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F08221189	NV

General Provider Information

NPI Number	:	1316667371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ELEANOR P CAYANAN FNP

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 WELLNESS WAY STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4142
Country	:	US
Telephone Number	:	28-770-8147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	09/18/2025

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