Individual ProviderNicole PowersStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address30 Station St Apt B, Athens, OH 45701-2783(317) 900-9106PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Powers 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 33 days ago.Profile DetailsProvider ID1134949431Provider TypeIndividualFull NamePowers, NicoleGenderFemaleSole ProprietorYesEnumeration Date10/12/2024Last Updated10/12/2024Contact InformationPractice LocationPractice Address30 Station St Apt B, Athens, OH 45701-2783Phone(317) 900-9106FaxUnlisted FaxMailing LocationMailing Address30 Station St Apt B, Athens, OH 45701-2783PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer