Individual ProviderTennille Raye ArvisoRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1511PECOS EnrollmentBased on the most recent information from CMS, provider Tennille Raye Arviso 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 ID1417025495Provider TypeIndividualFull NameArviso, Tennille RayeTitleMrs.CredentialR.N.GenderFemaleSole ProprietorNoEnumeration Date11/30/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1511Fax(602) 263-1619Mailing LocationMailing AddressPO Box 31001-0698, Pasadena, CA 91110-0698Phone(602) 263-1511FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN131141Arizona