Basic Information
| Provider Information | |||||||||
| NPI: | 1912208968 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NURSES, ETC., LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3085 FOUNTAINSIDE DR | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381387842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017567322 | ||||||||
| FaxNumber: | 9017567085 | ||||||||
| Practice Location | |||||||||
| Address1: | 9056 POPLAR PIKE | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381388225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017577435 | ||||||||
| FaxNumber: | 9017577437 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2010 | ||||||||
| LastUpdateDate: | 11/08/2010 | ||||||||
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| AuthorizedOfficialLastName: | SHERMAN | ||||||||
| AuthorizedOfficialFirstName: | PATRICIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9017567322 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251J00000X | Y | Agencies | Nursing Care |
No ID Information.