MEDICARE: TEAM NURSE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	163WC2100X	Continence Care Registered Nurse
2	251B00000X	Case Management Agency
3	251E00000X	Home Health Agency	VA
4	385H00000X	Respite Care
5	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	928	OTHER	VA	LICENSURE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205221488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAM NURSE INC

Provider Business Mailing Address
First Line	:	470 E MAIN ST
Second Line	:
City	:	ABINGDON
State	:	VA
Zip	:	24210-3408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 E MAIN ST
Second Line	:
City	:	ABINGDON
State	:	VA
Zip	:	24210-3408
Country	:	US
Telephone Number	:	434-575-5200
Fax Number	:	434-575-5054

Authorized Official
Title or Position	:	SR ACCOUNTING MANAGER
Name	:	ASHLEY ROYSTER
Credential	:
Telephone Number	:	804-323-9464

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	03/08/2023

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Directions to “TEAM NURSE INC ” Practice Location

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