Organization
NURSING DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J. DRAKE RN,MSN,APRN (CHIEF EXECUTIVE NURSING OFFICER)
(478) 226-7578
Entity
Organization
Contact information
Practice address
108 OLYMPIA DR STE 102A, WARNER ROBINS, GA 31093-3673
(478) 226-7578
(478) 845-5258
Mailing address
108 OLYMPIA DR STE 102A, WARNER ROBINS, GA 31093-3673
(478) 226-7578
(478) 845-5258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003311580
NPPES
GA
Enumeration date
06/02/2023
Last updated
06/02/2023
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