Individual ProviderFelecia Lynn MoonRegistered NurseNursing Service ProvidersPractice Address3418 Route 6, Middletown, NY 10940-6989(845) 343-8870(845) 775-3563PECOS EnrollmentBased on the most recent information from CMS, provider Felecia Lynn Moon 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 ID1285953521Provider TypeIndividualFull NameMoon, Felecia LynnCredentialRNGenderFemaleSole ProprietorYesEnumeration Date5/26/2010Last Updated12/3/2010Contact InformationPractice LocationPractice Address3418 Route 6, Middletown, NY 10940-6989Phone(845) 343-8870FaxUnlisted FaxMailing LocationMailing Address3418 Route 6, Middletown, NY 10940-6989Phone(845) 775-3563FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense02200524900New York