Individual ProviderCollen PetersRegistered NurseNursing Service ProvidersPractice Address2054 Tillotson Ave, Bronx, NY 10475-1560(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Collen Peters does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1063773208Provider TypeIndividualFull NamePeters, CollenCredentialRNGenderFemaleSole ProprietorYesEnumeration Date6/5/2012Last Updated6/5/2012Contact InformationPractice LocationPractice Address2054 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address2054 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense648370New York