Individual ProviderTamika Camilia ShorterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2240 M St NW, Washington, DC 20037-1415(202) 296-9877PECOS EnrollmentBased on the most recent information from CMS, provider Tamika Camilia Shorter 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 3 days ago.Profile DetailsProvider ID1184218331Provider TypeIndividualFull NameShorter, Tamika CamiliaCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date2/26/2021Last Updated9/20/2023Contact InformationPractice LocationPractice Address2240 M St NW, Washington, DC 20037-1415Phone(202) 296-9877FaxUnlisted FaxMailing LocationMailing Address2240 M St NW, Washington, DC 20037-1415Phone(202) 296-9877FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP1060583District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR182445Maryland