Individual ProviderAnabelle TanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2881 Delaney Ave, Orlando, FL 32806-5411(000) 000-0000PECOS EnrollmentBased on the most recent information from CMS, provider Anabelle Tan 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 2 days ago.Profile DetailsProvider ID1427716729Provider TypeIndividualFull NameTan, AnabelleCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date12/3/2021Last Updated6/29/2022Contact InformationPractice LocationPractice Address2881 Delaney Ave, Orlando, FL 32806-5411Phone(000) 000-0000FaxUnlisted FaxMailing LocationMailing Address2881 Delaney Ave, Orlando, FL 32806-5411PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11016865Florida