Individual ProviderDonna Elaine SmithRegistered NurseNursing Service ProvidersPractice Address3010 Wickham Ave, Bronx, NY 10469-3218(347) 995-4192PECOS EnrollmentBased on the most recent information from CMS, provider Donna Elaine Smith 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 7 days ago.Profile DetailsProvider ID1750699435Provider TypeIndividualFull NameSmith, Donna ElaineCredentialRNGenderFemaleSole ProprietorYesEnumeration Date9/16/2010Last Updated9/16/2010Contact InformationPractice LocationPractice Address3010 Wickham Ave, Bronx, NY 10469-3218Phone(347) 995-4192FaxUnlisted FaxMailing LocationMailing Address3010 Wickham Ave, Bronx, NY 10469-3218Phone(347) 995-4192FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense507537New YorkCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9308309Florida