Individual ProviderElisabeth RecordNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2605 Blue Ridge Rd Ste 240, Raleigh, NC 27607-6475(984) 222-8000PECOS EnrollmentBased on the most recent information from CMS, provider Elisabeth Record 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 yesterday at 12:57 PM.Profile DetailsProvider ID1639841117Provider TypeIndividualFull NameRecord, ElisabethGenderFemaleSole ProprietorNoEnumeration Date10/2/2021Last Updated12/29/2022Contact InformationPractice LocationPractice Address2605 Blue Ridge Rd Ste 240, Raleigh, NC 27607-6475Phone(984) 222-8000FaxUnlisted FaxMailing LocationMailing Address2605 Blue Ridge Rd Ste 240, Raleigh, NC 27607-6475PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0200XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseBRUB-N0AFDNorth CarolinaCode163WP0200XDescriptionRegistered NurseNursing Service ProvidersLicense286430North Carolina