Provider Demographics
NPI:1083294128
Name:NURSES RN
Entity Type:Organization
Organization Name:NURSES RN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-455-4444
Mailing Address - Street 1:111 CHURCH ST STE 118A
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-2430
Mailing Address - Country:US
Mailing Address - Phone:833-876-9315
Mailing Address - Fax:314-455-4444
Practice Address - Street 1:111 CHURCH ST STE 118A
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2430
Practice Address - Country:US
Practice Address - Phone:833-876-9315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty