Healthcare Provider Details

I. General information

NPI: 1972279867
Provider Name (Legal Business Name): 1ST NURSE REGISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 S US HIGHWAY 1 STE 304
PORT SAINT LUCIE FL
34952-1419
US

IV. Provider business mailing address

7410 S US HIGHWAY 1 STE 304
PORT SAINT LUCIE FL
34952-1419
US

V. Phone/Fax

Practice location:
  • Phone: 561-948-2010
  • Fax: 561-584-5030
Mailing address:
  • Phone: 561-948-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARTINE PIERRE
Title or Position: CHEIF FINANCIAL OFFCIER
Credential:
Phone: 561-948-2010