Individual ProviderNatacha Marcellus CharlesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1028 New York Ave Apt A1, Brooklyn, NY 11203-3825(718) 730-5699PECOS EnrollmentBased on the most recent information from CMS, provider Natacha Marcellus Charles 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 ID1629570486Provider TypeIndividualFull NameCharles, Natacha MarcellusTitleMs.CredentialFNPGenderFemaleSole ProprietorYesEnumeration Date3/7/2018Last Updated3/7/2018Contact InformationPractice LocationPractice Address1028 New York Ave Apt A1, Brooklyn, NY 11203-3825Phone(718) 730-5699FaxUnlisted FaxMailing LocationMailing Address1028 New York Ave Apt A1, Brooklyn, NY 11203-3825Phone(718) 730-5699FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense528562New York