Individual ProviderVirginia E. WesleyRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1523(602) 866-1761PECOS EnrollmentBased on the most recent information from CMS, provider Virginia E. Wesley 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 ID1164588638Provider TypeIndividualFull NameWesley, Virginia E.GenderFemaleSole ProprietorNoEnumeration Date12/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1523FaxUnlisted FaxMailing LocationMailing Address15601 N 19th Ave Lot 173, Phoenix, AZ 85023-4333Phone(602) 866-1761FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseR11823New Mexico