Provider Demographics
NPI:1710144969
Name:NURSES STATION INC
Entity Type:Organization
Organization Name:NURSES STATION INC
Other - Org Name:NORMA FAGRE CHAFLOQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:FAGRE
Authorized Official - Last Name:CHAFLOQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-241-0059
Mailing Address - Street 1:140 LITTLE FALLS ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VI
Mailing Address - Zip Code:22046-4612
Mailing Address - Country:US
Mailing Address - Phone:703-241-0059
Mailing Address - Fax:703-241-0255
Practice Address - Street 1:140 LITTLE FALLS ST
Practice Address - Street 2:SUITE 110
Practice Address - City:FALLS CHURCH
Practice Address - State:VI
Practice Address - Zip Code:22046-4612
Practice Address - Country:US
Practice Address - Phone:703-241-0059
Practice Address - Fax:703-241-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01025095170151993851374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA01025095170151993851Medicaid