Individual ProviderShauna DouglasRegistered NurseNursing Service ProvidersPractice Address1752 Arnow Ave Apt 2, Bronx, NY 10469-3331(646) 260-3236PECOS EnrollmentBased on the most recent information from CMS, provider Shauna Douglas 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 7 days ago.Profile DetailsProvider ID1114427226Provider TypeIndividualFull NameDouglas, ShaunaGenderFemaleSole ProprietorNoEnumeration Date2/15/2018Last Updated2/15/2018Contact InformationPractice LocationPractice Address1752 Arnow Ave Apt 2, Bronx, NY 10469-3331Phone(646) 260-3236FaxUnlisted FaxMailing LocationMailing Address1752 Arnow Ave Apt 2, Bronx, NY 10469-3331PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense704516-1New York