Individual ProviderMirnette ExantusRegistered NurseNursing Service ProvidersPractice Address145 W Sneden Pl, Spring Valley, NY 10977-3919(845) 659-0096PECOS EnrollmentBased on the most recent information from CMS, provider Mirnette Exantus 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 11:54 AM.Profile DetailsProvider ID1811369051Provider TypeIndividualFull NameExantus, MirnetteCredentialREGISTERED NURSEGenderFemaleSole ProprietorYesEnumeration Date10/27/2015Last Updated4/23/2024Contact InformationPractice LocationPractice Address145 W Sneden Pl, Spring Valley, NY 10977-3919Phone(845) 659-0096FaxUnlisted FaxMailing LocationMailing Address145 West Sneden Place, Spring Valley, NY 10977Phone(845) 659-0096FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense845319New York