Healthcare Provider Details

I. General information

NPI: 1649858465
Provider Name (Legal Business Name): NURSE WARREN HEALTHCARE CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 WRIGHT AVE
TERRYTOWN LA
70056-4037
US

IV. Provider business mailing address

657 WRIGHT AVE
TERRYTOWN LA
70056-4037
US

V. Phone/Fax

Practice location:
  • Phone: 504-812-1344
  • Fax:
Mailing address:
  • Phone: 504-812-1344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JACQUELINE SERVICES WARREN
Title or Position: MANAGING MANAGER
Credential: RN
Phone: 504-812-1344