Individual ProviderAlicia Konneker NielsenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766(704) 752-7779PECOS EnrollmentBased on the most recent information from CMS, provider Alicia Konneker Nielsen 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 ID1568630887Provider TypeIndividualFull NameNielsen, Alicia KonnekerTitleMrs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date2/20/2008Last Updated5/10/2010Contact InformationPractice LocationPractice Address7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766Phone(704) 752-7779Fax(704) 752-7775Mailing LocationMailing Address7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766Phone(704) 752-7779Fax(704) 752-7775Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-01222North Carolina