Tenisha K Powell | Bronx, NY • PECOS Search

Tenisha K Powell

Registered Nurse

Nursing Service Providers

1442 Needham Ave, Bronx, NY 10469-1549

PECOS Enrollment

Based on the most recent information from CMS, provider Tenisha K Powell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1619457629
Provider Type
Individual
Full Name
Powell, Tenisha K
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/19/2018
Last Updated
8/19/2018

Contact Information

Practice Location

1442 Needham Ave, Bronx, NY 10469-1549

Unlisted Fax

Mailing Location

1442 Needham Ave, Bronx, NY 10469-1549

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 720625 New York