Provider Demographics
NPI:1154500254
Name:NURSES STATION, P.C.
Entity Type:Organization
Organization Name:NURSES STATION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:STOTLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:618-259-7781
Mailing Address - Street 1:2 TERMINAL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EAST ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62024-2201
Mailing Address - Country:US
Mailing Address - Phone:618-259-7781
Mailing Address - Fax:
Practice Address - Street 1:2 TERMINAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:EAST ALTON
Practice Address - State:IL
Practice Address - Zip Code:62024-2201
Practice Address - Country:US
Practice Address - Phone:618-259-7781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041229606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty