Provider Demographics
NPI:1093186694
Name:THE NURSES TOUCH FAMILY HEALTHCARE PRACTITIONERS
Entity Type:Organization
Organization Name:THE NURSES TOUCH FAMILY HEALTHCARE PRACTITIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-693-3171
Mailing Address - Street 1:808 W MANANA BLVD
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-3459
Mailing Address - Country:US
Mailing Address - Phone:505-693-3171
Mailing Address - Fax:
Practice Address - Street 1:808 W MANANA BLVD
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-3459
Practice Address - Country:US
Practice Address - Phone:505-693-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care