Provider Demographics
NPI:1740061670
Name:CODY, LIZZIE BELLE TUAZON (DNP, FNP-C, CEN, RN)
Entity type:Individual
Prefix:
First Name:LIZZIE BELLE
Middle Name:TUAZON
Last Name:CODY
Suffix:
Gender:F
Credentials:DNP, FNP-C, CEN, RN
Other - Prefix:
Other - First Name:LIZZIE BELLE
Other - Middle Name:UGANAP
Other - Last Name:TUAZON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-C, CEN, RN
Mailing Address - Street 1:5001 EL PARQUE AVE APT 38
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3381
Mailing Address - Country:US
Mailing Address - Phone:702-929-1941
Mailing Address - Fax:
Practice Address - Street 1:5001 EL PARQUE AVE APT 38
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3381
Practice Address - Country:US
Practice Address - Phone:702-929-1941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV812553163WE0003X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency