Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edwin Antonio N Favis, APN

Individual provider Family Nurse Practitioner · NPI 1932342748

Edwin Antonio N Favis, APN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2008, 18 years ago. Practices with Pioneer Health Care LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2009
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2628 W Charleston Blvd
Las Vegas, NV 89102-2176
Phone: (702) 644-0500
Fax: (702) 641-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN001105 (NV)

Record details

NPI number1932342748
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedApril 8, 2009
Last updated in NPPESAugust 28, 2023
Certification dateAugust 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Pioneer Health Care Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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