Individual ProviderEno Roseline EtukudoRegistered NurseNursing Service ProvidersPractice Address4160 Hutchinson Pkwy E, Apt 14e, Bronx, NY 10475(929) 385-4471PECOS EnrollmentBased on the most recent information from CMS, provider Eno Roseline Etukudo 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 9:43 AM.Profile DetailsProvider ID1760194799Provider TypeIndividualFull NameEtukudo, Eno RoselineTitleMs.GenderFemaleSole ProprietorYesEnumeration Date12/21/2022Last Updated12/21/2022Contact InformationPractice LocationPractice Address4160 Hutchinson Pkwy E, Apt 14e, Bronx, NY 10475Phone(929) 385-4471FaxUnlisted FaxMailing LocationMailing Address4160 Hutchinson Pkwy E, Apt 14e, Bronx, NY 10475Phone(929) 385-4471FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense560312New York