Individual ProviderAnn R MixterRegistered NurseNursing Service ProvidersPractice Address2731 Gordon St, North Charleston, SC 29405-3900(843) 745-7126PECOS EnrollmentBased on the most recent information from CMS, provider Ann R Mixter 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 12:07 PM.Profile DetailsProvider ID1548679996Provider TypeIndividualFull NameMixter, Ann RTitleMrs.CredentialRNGenderFemaleSole ProprietorNoEnumeration Date8/11/2014Last Updated8/11/2014Contact InformationPractice LocationPractice Address2731 Gordon St, North Charleston, SC 29405-3900Phone(843) 745-7126Fax(843) 529-3914Mailing LocationMailing Address2731 Gordon St, North Charleston, SC 29405-3900Phone(843) 745-7126Fax(843) 529-3914Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense91797South CarolinaProvider IdentifiersIDDescriptionIssuerID163WS0200XDescriptionMedicaidIssuerUnlistedSouth Carolina