Organization
TEAM NURSE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D MIZE (OWNER/PRESIDENT)
(434) 575-5200
Entity
Organization
Contact information
Practice address
1012 RESERVOIR ST, SUITE A, HARRISONBURG, VA 22801-4457
(540) 574-4321
(540) 437-9983
Mailing address
1012 RESERVOIR ST, SUITE A, HARRISONBURG, VA 22801-4457
(540) 437-9978
(540) 574-9951
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
HCO-10490
VA
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153794646
—
VA
05
—
0153795023
—
VA
01
—
1306017470
PRIVATE DUTY MEDICAID
VA
01
—
HCO-09490
STATE LICENSURE
VA
Enumeration date
03/17/2008
Last updated
08/15/2019
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