Individual ProviderAndrea Marie FalconNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3610 Galileo Dr Ste 102, Trinity, FL 34655-1794(813) 406-4835(727) 862-8561PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Marie Falcon 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 9:24 AM.Profile DetailsProvider ID1205188612Provider TypeIndividualFull NameFalcon, Andrea MarieCredentialAPRN-CGenderFemaleSole ProprietorYesEnumeration Date10/9/2012Last Updated9/22/2022Contact InformationPractice LocationPractice Address3610 Galileo Dr Ste 102, Trinity, FL 34655-1794Phone(813) 406-4835Fax(813) 994-4835Mailing LocationMailing Address7547 Jacque Rd, Hudson, FL 34667-7163Phone(727) 862-8561FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9241414Florida