Individual ProviderTanisha Clara SpencerLicensed Practical NurseNursing Service ProvidersPractice Address170 Traver Cir, Rochester, NY 14609-2310(585) 333-2686PECOS EnrollmentBased on the most recent information from CMS, provider Tanisha Clara Spencer 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 12:33 PM.Profile DetailsProvider ID1457944753Provider TypeIndividualFull NameSpencer, Tanisha ClaraTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/17/2021Last Updated2/17/2021Contact InformationPractice LocationPractice Address170 Traver Cir, Rochester, NY 14609-2310Phone(585) 333-2686FaxUnlisted FaxMailing LocationMailing Address170 Traver Cir, Rochester, NY 14609-2310Phone(585) 333-2686FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense340615-01New York