Organization
TEAM NURSE, INC.
Active
Parent organization
TEAM NURSE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEAM NURSE, INC.
Authorized official
CHRISTY GLYNN (VP OF OPERATIONS)
(434) 575-5200
Entity
Organization
Contact information
Practice address
16610 RUSSELL STREET, SUITE 5, ST PAUL, VA 24283
(434) 575-5200
(434) 575-5054
Mailing address
16610 RUSSELL STREET, SUITE 5, ST PAUL, VA 24283
(434) 575-5200
(434) 575-5054
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
LICENSURE OLC
VA
Enumeration date
01/18/2019
Last updated
08/15/2019
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