Individual ProviderTawana Nicole OkeneRegistered NurseNursing Service ProvidersPractice Address21943 Peck Ave, Queens Village, NY 11427-1121(718) 776-6966PECOS EnrollmentBased on the most recent information from CMS, provider Tawana Nicole Okene 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 ID1326346495Provider TypeIndividualFull NameOkene, Tawana NicoleCredentialREGISTERED NURSE(RN)GenderFemaleSole ProprietorYesEnumeration Date3/14/2011Last Updated3/14/2011Contact InformationPractice LocationPractice Address21943 Peck Ave, Queens Village, NY 11427-1121Phone(718) 776-6966FaxUnlisted FaxMailing LocationMailing Address219-43 Peck Ave., Hollis-Hills, NY 11427Phone(718) 776-6966FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense615431-1New York