Provider Demographics
NPI:1972842722
Name:THE NIELSEN MANAGEMENT GROUP
Entity Type:Organization
Organization Name:THE NIELSEN MANAGEMENT GROUP
Other - Org Name:KN MED THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:318-272-6271
Mailing Address - Street 1:1510 I 45 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1669
Mailing Address - Country:US
Mailing Address - Phone:936-689-6198
Mailing Address - Fax:832-295-6407
Practice Address - Street 1:1510 I 45 N
Practice Address - Street 2:SUITE 100
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1669
Practice Address - Country:US
Practice Address - Phone:936-689-6198
Practice Address - Fax:832-295-6407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA048901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty