Provider Demographics
NPI:1659084614
Name:NORTH STATE NURSING REGISTRY, LLC
Entity Type:Organization
Organization Name:NORTH STATE NURSING REGISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-518-3295
Mailing Address - Street 1:3045 CHICO RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9627
Mailing Address - Country:US
Mailing Address - Phone:530-518-3295
Mailing Address - Fax:530-898-0162
Practice Address - Street 1:2055 FOREST AVE STE 7
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7626
Practice Address - Country:US
Practice Address - Phone:530-518-3295
Practice Address - Fax:530-898-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care