Provider Demographics
NPI:1609218676
Name:NATIONS CARE LINK
Entity Type:Organization
Organization Name:NATIONS CARE LINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-516-6935
Mailing Address - Street 1:11000 PRAIRE LAKES DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:EDEN PRAIRE
Mailing Address - State:MN
Mailing Address - Zip Code:55344
Mailing Address - Country:US
Mailing Address - Phone:480-922-8950
Mailing Address - Fax:
Practice Address - Street 1:11000 PRAIRE LAKES DR
Practice Address - Street 2:SUITE 600
Practice Address - City:EDEN PRAIRE
Practice Address - State:MN
Practice Address - Zip Code:55344
Practice Address - Country:US
Practice Address - Phone:480-922-8950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty