Healthcare Provider Details

I. General information

NPI: 1033055140
Provider Name (Legal Business Name): NURSE R US
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6098 S MONET CT
KEARNS UT
84118-8530
US

IV. Provider business mailing address

6098 S MONET CT
KEARNS UT
84118-8530
US

V. Phone/Fax

Practice location:
  • Phone: 208-739-6632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ORNELAS
Title or Position: LPN
Credential:
Phone: 208-739-6632