Organization
TEAM NURSE, INC
Active
Other names
Team Nurse Stuart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D. MIZE (PRESIDENT)
(434) 575-5200
Entity
Organization
Contact information
Practice address
126 N. MAIN STREET, STUART, VA 24171
(276) 694-4406
(276) 694-4727
Mailing address
PO BOX 776, SOUTH BOSTON, VA 24592-0776
(434) 575-5200
(434) 575-5204
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
HCO-10289
VA
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033295092
PRIVATE DUTY
VA
01
—
289
VA STATE LICENSE
VA
Enumeration date
10/31/2006
Last updated
08/15/2019
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