Individual ProviderAlexandra NickersonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19555 N 59th Ave, Glendale, AZ 85308-6813(623) 572-2300PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Nickerson 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 6 days ago.Profile DetailsProvider ID1982401618Provider TypeIndividualFull NameNickerson, AlexandraGenderFemaleSole ProprietorYesEnumeration Date2/28/2025Last Updated2/28/2025Contact InformationPractice LocationPractice Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 572-2300FaxUnlisted FaxMailing LocationMailing Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 572-2300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer