Healthcare Provider Details

I. General information

NPI: 1205412012
Provider Name (Legal Business Name): NURSE TO YOUR DOOR - CONCIERGE NURSING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7791 N DE WOLF AVE
CLOVIS CA
93619-9008
US

IV. Provider business mailing address

7791 N DE WOLF AVE
CLOVIS CA
93619-9008
US

V. Phone/Fax

Practice location:
  • Phone: 559-343-2200
  • Fax:
Mailing address:
  • Phone: 559-343-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRA PEDRAZA
Title or Position: CEO
Credential: RN BSN
Phone: 559-917-7868