Individual ProviderNancy Lalanne - BrutusNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453-2507(718) 299-7295(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Lalanne - Brutus is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1265751721Provider TypeIndividualFull NameLalanne - Brutus, NancyGenderFemaleSole ProprietorNoEnumeration Date5/24/2010Last Updated8/21/2020Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453-2507Phone(718) 299-7295Fax(718) 299-6797Mailing LocationMailing Address1434 Williamsbridge Road, 2nd Floor, Bronx, NY 10461-4303Phone(718) 618-0401Fax(347) 479-1303Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF345371New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense296657New York