Individual ProviderWilliam Rowland TuckerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(443) 202-7725(229) 292-2687PECOS EnrollmentBased on the most recent information from CMS, provider William Rowland Tucker 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 4 days ago.Profile DetailsProvider ID1316299936Provider TypeIndividualFull NameTucker, William RowlandTitleMr.CredentialARNPGenderMaleSole ProprietorYesEnumeration Date10/5/2012Last Updated9/19/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(443) 202-7725FaxUnlisted FaxMailing LocationMailing Address8324 Vickers Rd, Hahira, GA 31632-3214Phone(229) 292-2687FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN115908GeorgiaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 2987192Florida