Individual ProviderLanisha Shamalla OutlawRegistered NurseNursing Service ProvidersPractice Address75 Brewster Dr, Middletown, NY 10940-6022(845) 326-6041PECOS EnrollmentBased on the most recent information from CMS, provider Lanisha Shamalla Outlaw 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 today at 9:43 AM.Profile DetailsProvider ID1619836491Provider TypeIndividualFull NameOutlaw, Lanisha ShamallaTitleMrs.CredentialRN, BSNGenderFemaleSole ProprietorYesEnumeration Date1/19/2026Last Updated1/19/2026Contact InformationPractice LocationPractice Address75 Brewster Dr, Middletown, NY 10940-6022Phone(845) 326-6041FaxUnlisted FaxMailing LocationMailing Address75 Brewster Dr, Middletown, NY 10940-6022PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense832261New York