Organization Name: | EXTRAORDINARY NURSES, LLC |
NPI Number: | 1174945588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRANDY BROWN (CEO/OWNER) |
Mailing Address: | 2330 Scenic Hwy S Ste 707 Snellville |
State: | GA US |
Postal Code: | 300783115 |
Phone Number: | 6785427488 |
Fax Number: | 4044812688 |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | RN197433 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |