Individual ProviderShaneika Larisa SaddlerRegistered NurseNursing Service ProvidersPractice Address3308 Wickham Ave, Bronx, NY 10469-2736(718) 671-2100(347) 490-5913PECOS EnrollmentBased on the most recent information from CMS, provider Shaneika Larisa Saddler 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 7 days ago.Profile DetailsProvider ID1306128707Provider TypeIndividualFull NameSaddler, Shaneika LarisaCredentialREGISTERED NURSEGenderFemaleSole ProprietorYesEnumeration Date9/13/2011Last Updated1/9/2021Contact InformationPractice LocationPractice Address3308 Wickham Ave, Bronx, NY 10469-2736Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address232 Caldwell Loop, Jacksonville, NC 28546-8397Phone(347) 490-5913Fax(888) 270-4341Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense297899North Carolina