Individual ProviderPatrice Monique AdetoroRegistered NurseNursing Service ProvidersPractice Address13500 Noel Rd Apt 131, Dallas, TX 75240-5057(414) 625-0775PECOS EnrollmentBased on the most recent information from CMS, provider Patrice Monique Adetoro 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 ID1871153668Provider TypeIndividualFull NameAdetoro, Patrice MoniqueCredentialRNGenderFemaleSole ProprietorYesEnumeration Date6/14/2019Last Updated10/13/2021Contact InformationPractice LocationPractice Address13500 Noel Rd Apt 131, Dallas, TX 75240-5057Phone(414) 625-0775FaxUnlisted FaxMailing LocationMailing Address13500 Noel Rd Apt 131, Dallas, TX 75240-5057Phone(414) 625-0775FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense192968WisconsinCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer