Individual ProviderVictoria Renee ParkerRegistered NurseNursing Service ProvidersPractice Address21 James P Kelly Way Apt 10, Middletown, NY 10940-9463(541) 279-4572PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Renee Parker 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 ID1255121489Provider TypeIndividualFull NameParker, Victoria ReneeCredentialRNGenderFemaleSole ProprietorYesEnumeration Date5/9/2025Last Updated5/9/2025Contact InformationPractice LocationPractice Address21 James P Kelly Way Apt 10, Middletown, NY 10940-9463Phone(541) 279-4572FaxUnlisted FaxMailing LocationMailing Address418 Broadway # 6996, Albany, NY 12207-2922Phone(541) 279-4572FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense973734New York