Individual ProviderSasha Marie Kalous-WesselsRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1511(602) 263-5111PECOS EnrollmentBased on the most recent information from CMS, provider Sasha Marie Kalous-Wessels 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 3 days ago.Profile DetailsProvider ID1083780100Provider TypeIndividualFull NameKalous-Wessels, Sasha MarieTitleMrs.CredentialRNGenderFemaleSole ProprietorNoEnumeration Date11/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1511Fax(602) 263-1619Mailing LocationMailing AddressPO Box 31001-0698, Pasadena, CA 91110-0001Phone(602) 263-5111Fax(602) 263-1619Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN117536Arizona