Provider Demographics
NPI:1114639523
Name:DM NURSING PLLC
Entity Type:Organization
Organization Name:DM NURSING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MINDNICH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, PCNS
Authorized Official - Phone:508-932-8303
Mailing Address - Street 1:900 CUMMINGS CTR STE 413V
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6185
Mailing Address - Country:US
Mailing Address - Phone:508-932-8303
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR STE 413V
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6185
Practice Address - Country:US
Practice Address - Phone:508-932-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty