Provider Demographics
NPI:1174168223
Name:NURSE PRACTITIONER SOLUTIONS, LLC
Entity type:Organization
Organization Name:NURSE PRACTITIONER SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ITHAMESIA
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-553-1658
Mailing Address - Street 1:9 RIDGE POND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9048
Mailing Address - Country:US
Mailing Address - Phone:803-553-1658
Mailing Address - Fax:
Practice Address - Street 1:388 ELBOW CIR
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:SC
Practice Address - Zip Code:29130-7115
Practice Address - Country:US
Practice Address - Phone:803-337-8701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility