Provider Demographics
NPI:1205412012
Name:NURSE TO YOUR DOOR - CONCIERGE NURSING INC.
Entity Type:Organization
Organization Name:NURSE TO YOUR DOOR - CONCIERGE NURSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRAZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:559-917-7868
Mailing Address - Street 1:7791 N DE WOLF AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-9008
Mailing Address - Country:US
Mailing Address - Phone:559-343-2200
Mailing Address - Fax:
Practice Address - Street 1:7791 N DE WOLF AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-9008
Practice Address - Country:US
Practice Address - Phone:559-343-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care