Individual ProviderHenrice NolanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address21 Columbia St, Orlando, FL 32806-1133(321) 841-6600PECOS EnrollmentBased on the most recent information from CMS, provider Henrice Nolan 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 ID1770954679Provider TypeIndividualFull NameNolan, HenriceCredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/18/2015Last Updated3/30/2023Contact InformationPractice LocationPractice Address21 Columbia St, Orlando, FL 32806-1133Phone(321) 841-6600Fax(321) 841-4085Mailing LocationMailing Address21 Columbia St, Orlando, FL 32806-1133Phone(321) 841-6600Fax(321) 841-4085Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN9476046FloridaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9476046Florida