Healthcare Provider Details

I. General information

NPI: 1528373016
Provider Name (Legal Business Name): NURSE MENTORS STAFFING REGISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 MIRAMAR PKWY STE 306
MIRAMAR FL
33023-3985
US

IV. Provider business mailing address

6151 MIRAMAR PKWY STE 306
MIRAMAR FL
33023-3985
US

V. Phone/Fax

Practice location:
  • Phone: 954-966-6467
  • Fax: 954-272-8437
Mailing address:
  • Phone: 954-966-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. GERDA MAE WILLIAMS
Title or Position: PRESIDENT
Credential: A.R.N.P.
Phone: 954-328-3191