Provider Demographics
NPI:1740784875
Name:NITS END, LLC
Entity Type:Organization
Organization Name:NITS END, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ILLAREE
Authorized Official - Last Name:PATRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-787-8186
Mailing Address - Street 1:801 DALLAS ST SW
Mailing Address - Street 2:
Mailing Address - City:GRAVETTE
Mailing Address - State:AR
Mailing Address - Zip Code:72736-9560
Mailing Address - Country:US
Mailing Address - Phone:479-787-8186
Mailing Address - Fax:
Practice Address - Street 1:3 MCKISSIC CREEK RD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-8901
Practice Address - Country:US
Practice Address - Phone:479-289-8817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty