Provider Demographics
NPI:1578971461
Name:4 NURSES AT WORK LLC
Entity Type:Organization
Organization Name:4 NURSES AT WORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:MARTINA
Authorized Official - Last Name:COFFY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-854-6995
Mailing Address - Street 1:9 MICHAEL ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854
Mailing Address - Country:US
Mailing Address - Phone:203-854-6995
Mailing Address - Fax:203-433-5443
Practice Address - Street 1:9 MICHAEL ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854
Practice Address - Country:US
Practice Address - Phone:203-854-6995
Practice Address - Fax:203-433-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE51445163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty