MEDICARE: THE P.D.Q. NURSE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	HC0116	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1407990724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE P.D.Q. NURSE, INC

Provider Business Mailing Address
First Line	:	1660 BRYSON CITY RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-4300
Country	:	US
Telephone Number	:	828-369-7549
Fax Number	:	828-369-5726

Provider Business Practice Location Address
First Line	:	1660 BRYSON CITY RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-4300
Country	:	US
Telephone Number	:	828-369-7549
Fax Number	:	828-369-5726

Authorized Official
Title or Position	:	PRESIDENT ADMINISTRATOR
Name	:	MS. DONNA DAVIS-TAUREL
Credential	:	RN
Telephone Number	:	828-369-7549

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	08/22/2020

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