Provider Demographics
NPI:1972279867
Name:1ST NURSE REGISTRY LLC
Entity Type:Organization
Organization Name:1ST NURSE REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF FINANCIAL OFFCIER
Authorized Official - Prefix:
Authorized Official - First Name:MARTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-948-2010
Mailing Address - Street 1:7410 S US HIGHWAY 1 STE 304
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-1419
Mailing Address - Country:US
Mailing Address - Phone:561-948-2010
Mailing Address - Fax:
Practice Address - Street 1:7410 S US HIGHWAY 1 STE 304
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-1419
Practice Address - Country:US
Practice Address - Phone:561-948-2010
Practice Address - Fax:561-584-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care