Individual ProviderAmirah DavisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3636 Springdale Rd, Cincinnati, OH 45251-1407(615) 425-4241PECOS EnrollmentBased on the most recent information from CMS, provider Amirah Davis 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 yesterday at 10:47 AM.Profile DetailsProvider ID1366966020Provider TypeIndividualFull NameDavis, AmirahCredentialCNPGenderFemaleSole ProprietorNoEnumeration Date8/2/2017Last Updated3/31/2020Contact InformationPractice LocationPractice Address3636 Springdale Rd, Cincinnati, OH 45251-1407Phone(615) 425-4241FaxUnlisted FaxMailing LocationMailing Address2620 Elm Hill Pike, Nashville, TN 37214-3108PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN.CNP.021091Ohio