Individual ProviderFanya TokwauluNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5975 Sunset Dr, Suite 402, South Miami, FL 33143-5166(305) 669-2833(305) 669-2834PECOS EnrollmentBased on the most recent information from CMS, provider Fanya Tokwaulu 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 4 days ago.Profile DetailsProvider ID1801174974Provider TypeIndividualFull NameTokwaulu, FanyaTitleMs.CredentialARNP FNP-BCGenderFemaleSole ProprietorYesEnumeration Date7/24/2011Last Updated3/8/2012Contact InformationPractice LocationPractice Address5975 Sunset Dr, Suite 402, South Miami, FL 33143-5166Phone(305) 669-2833Fax(305) 669-2840Mailing LocationMailing Address5975 Sunset Dr, Suite 402, South Miami, FL 33143-5166Phone(305) 669-2834Fax(305) 669-2840Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN 9269319Florida