Organization Name: | THE NURSES OFFICE |
NPI Number: | 1376820258 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA FRANCES STUART-SMALLEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 1757 W Jackson Ln Lakeside |
State: | AZ US |
Postal Code: | 859297301 |
Phone Number: | 9283680461 |
Fax Number: | 9283684333 |
NPI Enumeration Date: | 11/07/2011 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | OTC4051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |