Healthcare Provider Details

I. General information

NPI: 1841803376
Provider Name (Legal Business Name): TIME TO GET WE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 08/25/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 PIN OAK LN
HAMMOND LA
70401-8201
US

IV. Provider business mailing address

16 PIN OAK LN
HAMMOND LA
70401-8201
US

V. Phone/Fax

Practice location:
  • Phone: 225-333-7196
  • Fax: 833-963-2073
Mailing address:
  • Phone: 225-333-7196
  • Fax: 833-963-2073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE URSINI
Title or Position: PARTNER
Credential:
Phone: 303-547-6815