Organization
PROFESSIONAL NURSING SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY W WALLACE RN PNP (CEO)
(252) 247-6911
Entity
Organization
Contact information
Practice address
212 N 35TH ST, MOREHEAD CITY, NC 28557-3104
(252) 247-6911
(252) 247-1034
Mailing address
212 N 35TH ST, MOREHEAD CITY, NC 28557-3104
(252) 247-6911
(252) 247-1034
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
HC 6800356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6800356
—
NC
Enumeration date
01/15/2009
Last updated
01/15/2009
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