Individual ProviderWilmina MichelNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Box 22, Brooklyn, NY 11203-3968(718) 245-3921PECOS EnrollmentBased on the most recent information from CMS, provider Wilmina Michel 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 2 days ago.Profile DetailsProvider ID1952851156Provider TypeIndividualFull NameMichel, WilminaTitleMs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/11/2016Last Updated4/17/2017Contact InformationPractice LocationPractice Address451 Clarkson Ave, Box 22, Brooklyn, NY 11203-3968Phone(718) 245-3921FaxUnlisted FaxMailing LocationMailing Address451 Clarkson Ave, Box 22, Brooklyn, NY 11203-3968Phone(718) 245-3921FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF340385-1New York