Infusion Nurse Specialist ,LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

PENDING Issued in PA

Legal business name

INFUSION NURSE SPECIALIST ,LLC

Practice address

630 Freedom Business Ctr Dr
Third Floor
King of Prussia, PA 19406-1331

Phone

(610) 768-7727

Fax

(610) 768-7729

NPI assigned

Sep 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa S White, RN

Title

Ceo

Phone

(610) 768-7727

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1801081526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR",
            "address_2": "THIRD FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "610-768-7727",
            "fax_number": "610-768-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR",
            "address_2": "THIRD FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "610-768-7727",
            "fax_number": "610-768-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION NURSE SPECIALIST ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-768-7727",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "PA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.