MEDICARE: CONNECTION NP SERVICES

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	1-111438	AL

General Provider Information

NPI Number	:	1487051884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTION NP SERVICES

Provider Business Mailing Address
First Line	:	6130 SOUTHBEND DR N
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36619-1719
Country	:	US
Telephone Number	:	251-689-7707
Fax Number	:

Provider Business Practice Location Address
First Line	:	6130 SOUTHBEND DR N
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36619-1719
Country	:	US
Telephone Number	:	251-689-7707
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NATASHA H ANDREWS
Credential	:	CRNP
Telephone Number	:	251-689-7707

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	12/01/2014

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