Organization
NURSEGENICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AUDRYUNNA TAHQWELA TATE LPN (OWNER)
(414) 982-8738
Entity
Organization
Contact information
Practice address
2363 S 102ND ST STE 202, WEST ALLIS, WI 53227-2143
(262) 417-1195
Mailing address
2363 S 102ND ST STE 202, WEST ALLIS, WI 53227-2143
(262) 417-1195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
246RP1900X
Phlebotomy Technician
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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