Tri-County Nursing, LLC
Organization Active NPI Pediatric Registered Nurse · Brockway, PA
NPI 1740723733 · NPPES record last updated Nov 23, 2016
Key facts
- NPI
- 1740723733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- 03590501 (PA)
- Legal business name
- TRI-COUNTY NURSING, LLC
- Practice address
- 426 Main St
Brockway, PA 15824-1325 - Phone
- (814) 265-0011
- Fax
- (814) 265-0015
- NPI assigned
- Nov 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Patricia Diane Redmond
- Title
- Owner
- Phone
- (814) 265-0011
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse |
163WH0200X | 03590501 | PA | |
| Pediatric Registered Nurse |
163WP0200X | 03590501 | PA | Yes |
| Licensed Practical Nurse |
164W00000X | 03590501 | PA |
Addresses
Primary practice location
426 Main St
Brockway, PA 15824-1325
Mailing address
426 Main St
Brockway, PA 15824-1325
Phone (814) 265-0011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3845616 | Other | PA | ENTITY ID |
| 398108 | Other | PA | CMS CERTIFICATION # |
| 1023846350001 | Medicaid | PA |
Other providers in Brockway, PA
- Sean Sleigh
- Angela D Snyder
- Tiandra Louann Levis Snyder
- Sparkling Path LLC
- James Stricek
- Zachary Daniel Tyler
- Jennifer Urso
- Bethany Vogt
- Hailey Wagner
- WRC Highland View Health Care
All providers in Brockway, PA · Pediatric Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.