Individual ProviderCrystal MacleodRegistered NurseNursing Service ProvidersPractice Address5601 N 16th St, Phoenix, AZ 85016-2903(612) 388-5402PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Macleod 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 ID1538773452Provider TypeIndividualFull NameMacleod, CrystalGenderFemaleSole ProprietorNoEnumeration Date9/8/2020Last Updated9/8/2020Contact InformationPractice LocationPractice Address5601 N 16th St, Phoenix, AZ 85016-2903Phone(612) 388-5402FaxUnlisted FaxMailing LocationMailing Address6165 E Janice Way, Scottsdale, AZ 85254-2538PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN178578Arizona