Individual ProviderShanice FletcherRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 264-4050(917) 334-9575PECOS EnrollmentBased on the most recent information from CMS, provider Shanice Fletcher 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 3 days ago.Profile DetailsProvider ID1306706551Provider TypeIndividualFull NameFletcher, ShaniceGenderFemaleSole ProprietorNoEnumeration Date11/12/2025Last Updated11/12/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 264-4050FaxUnlisted FaxMailing LocationMailing Address19615 118th Ave, Saint Albans, NY 11412-3443Phone(917) 334-9575FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense965078New York