1457570269 NPI number — I.V. PLUS NURSING

Table of content: (NPI 1457570269)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457570269 NPI number — I.V. PLUS NURSING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
I.V. PLUS NURSING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NANCY THOMPSON
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457570269
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2403 OKEECHOBEE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT PIERCE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34950-6556
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-460-0050
Provider Business Mailing Address Fax Number:
772-489-3058

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2403 OKEECHOBEE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT PIERCE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34950-6556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-460-0050
Provider Business Practice Location Address Fax Number:
772-489-3058
Provider Enumeration Date:
04/24/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
MORNINGSTAR
Authorized Official Title or Position:
OWNER, CEO
Authorized Official Telephone Number:
772-460-0050

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  30210988 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)