Individual ProviderAida Rose WagesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1505 S 7th St, Louisville, KY 40208-1710(502) 637-1005PECOS EnrollmentBased on the most recent information from CMS, provider Aida Rose Wages 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 yesterday at 6:04 PM.Profile DetailsProvider ID1265470652Provider TypeIndividualFull NameWages, Aida RoseCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date6/4/2006Last Updated3/7/2023Contact InformationPractice LocationPractice Address1505 S 7th St, Louisville, KY 40208-1710Phone(502) 637-1005Fax(502) 637-5631Mailing LocationMailing Address1505 S 7th St, Louisville, KY 40208-1710Phone(502) 637-1005Fax(502) 637-5631Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4866PKentuckyCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71001525AIndianaProvider IdentifiersIDDescriptionIssuerID71001525ADescriptionOtherIssuerAPNIndianaID71001525BDescriptionOtherIssuerCSRIndiana