Individual ProviderTisha PriceNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7920 Sam Furr Rd, Huntersville, NC 28078-8911(704) 896-3671(804) 304-9218PECOS EnrollmentBased on the most recent information from CMS, provider Tisha Price is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:49 AM.Profile DetailsProvider ID1104303361Provider TypeIndividualFull NamePrice, TishaGenderFemaleSole ProprietorNoEnumeration Date7/20/2018Last Updated7/20/2018Contact InformationPractice LocationPractice Address7920 Sam Furr Rd, Huntersville, NC 28078-8911Phone(704) 896-3671FaxUnlisted FaxMailing LocationMailing Address5825 Stephens Grove Ln, Huntersville, NC 28078-3328Phone(804) 304-9218FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5010764North Carolina