Individual ProviderKristen L MaherLicensed Practical NurseNursing Service ProvidersPractice Address32 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4430(516) 462-0786PECOS EnrollmentBased on the most recent information from CMS, provider Kristen L Maher 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 2 days ago.Profile DetailsProvider ID1235874686Provider TypeIndividualFull NameMaher, Kristen LGenderFemaleSole ProprietorYesEnumeration Date4/30/2022Last Updated4/30/2022Contact InformationPractice LocationPractice Address32 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4430Phone(516) 462-0786FaxUnlisted FaxMailing LocationMailing Address32 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4430Phone(516) 462-0786FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense1474728New York