Healthcare Provider Details

I. General information

NPI: 1689413478
Provider Name (Legal Business Name): NURSENEST NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5336 LONG RD APT D
ORLANDO FL
32808-1121
US

IV. Provider business mailing address

5336 LONG RD APT D
ORLANDO FL
32808-1121
US

V. Phone/Fax

Practice location:
  • Phone: 239-603-2143
  • Fax:
Mailing address:
  • Phone: 239-603-2143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: JUDITH PIERRE
Title or Position: SOLE MEMBER
Credential:
Phone: 239-603-2143