Provider Demographics
NPI:1861817934
Name:TUAZON, HOMER CABRERA (APRN, FNPC)
Entity Type:Individual
Prefix:MR
First Name:HOMER
Middle Name:CABRERA
Last Name:TUAZON
Suffix:
Gender:M
Credentials:APRN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 400546
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-0546
Mailing Address - Country:US
Mailing Address - Phone:702-417-3865
Mailing Address - Fax:702-444-7898
Practice Address - Street 1:3110 E SUNSET RD STE K
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-5700
Practice Address - Country:US
Practice Address - Phone:702-444-7744
Practice Address - Fax:702-444-7898
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV001431363LF0000X
NVAPRN001431363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health