Individual ProviderNancy Odita-HonnahNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main Street, Carebridge, Nashville, TN 37206-3720(615) 436-9060PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Odita-Honnah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1548702434Provider TypeIndividualFull NameOdita-Honnah, NancyTitleMs.CredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date11/9/2016Last Updated10/9/2024Contact InformationPractice LocationPractice Address926 Main Street, Carebridge, Nashville, TN 37206-3720Phone(615) 436-9060Fax(615) 235-9725Mailing LocationMailing Address926 Main Street, Carebridge, Nashville, TN 37206-3720Phone(615) 436-9060Fax(615) 235-9725Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN.CNP.020190OhioProvider IdentifiersIDDescriptionIssuerID0197721DescriptionMedicaidIssuerUnlistedOhio