OrganizationCountermeasure WellnessNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address12119 Canal Dr, Huntersville, NC 28078-5334(502) 667-0364PECOS EnrollmentBased on the most recent information from CMS, provider Countermeasure Wellness 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 today at 10:49 AM.Profile DetailsProvider ID1972367480Provider TypeOrganizationFull NameCountermeasure WellnessSubpartNoEnumeration Date2/6/2024Last Updated2/6/2024Contact InformationPractice LocationPractice Address12119 Canal Dr, Huntersville, NC 28078-5334Phone(502) 667-0364FaxUnlisted FaxMailing LocationMailing Address12119 Canal Dr, Huntersville, NC 28078-5334Phone(502) 667-0364FaxUnlisted FaxAuthorized OfficialNameBarnett, Kaitlyn (Owner)Phone(502) 667-0364Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer