Provider Demographics
NPI:1821154808
Name:NURSING EXCELLENCE CORP
Entity Type:Organization
Organization Name:NURSING EXCELLENCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SOMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHN
Authorized Official - Phone:763-584-0840
Mailing Address - Street 1:8145 TYLER ST NE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2032
Mailing Address - Country:US
Mailing Address - Phone:763-574-0840
Mailing Address - Fax:763-208-0535
Practice Address - Street 1:8145 TYLER ST NE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE PARK
Practice Address - State:MN
Practice Address - Zip Code:55432-2032
Practice Address - Country:US
Practice Address - Phone:763-574-0840
Practice Address - Fax:763-208-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR121116-0163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty