Provider Demographics
NPI:1225721335
Name:NURSING DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:NURSING DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN,APRN
Authorized Official - Phone:478-226-7578
Mailing Address - Street 1:108 OLYMPIA DR STE 102A
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3673
Mailing Address - Country:US
Mailing Address - Phone:478-226-7578
Mailing Address - Fax:478-845-5258
Practice Address - Street 1:108 OLYMPIA DR STE 102A
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3673
Practice Address - Country:US
Practice Address - Phone:478-226-7578
Practice Address - Fax:478-845-5258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1003311580OtherNPPES