Individual ProviderDenise NelsonRegistered NurseNursing Service ProvidersPractice Address3148 Tiemann Ave, Bronx, NY 10469-3119(347) 961-3834PECOS EnrollmentBased on the most recent information from CMS, provider Denise Nelson 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 ID1841783784Provider TypeIndividualFull NameNelson, DeniseGenderFemaleSole ProprietorYesEnumeration Date6/13/2018Last Updated6/13/2018Contact InformationPractice LocationPractice Address3148 Tiemann Ave, Bronx, NY 10469-3119Phone(347) 961-3834FaxUnlisted FaxMailing LocationMailing Address3148 Tiemann Ave, Bronx, NY 10469-3119Phone(347) 961-3834FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense747523New York