Individual ProviderBeth PowellRegistered NurseNursing Service ProvidersPractice Address2054 Tillotson Ave, Bronx, NY 10475-1560(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Beth Powell 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 9:43 AM.Profile DetailsProvider ID1306184296Provider TypeIndividualFull NamePowell, BethCredentialRNGenderFemaleSole ProprietorYesEnumeration Date1/28/2013Last Updated1/28/2013Contact InformationPractice LocationPractice Address2054 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address2054 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense664641New York