Provider Demographics
NPI:1063389740
Name:PULSELINE NURSING
Entity type:Organization
Organization Name:PULSELINE NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RN
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:NOURSE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:208-562-7106
Mailing Address - Street 1:15702 RIVERSIDE RD SPC 19
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83607-9648
Mailing Address - Country:US
Mailing Address - Phone:208-562-7106
Mailing Address - Fax:208-562-7106
Practice Address - Street 1:15702 RIVERSIDE RD SPC 19
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83607-9648
Practice Address - Country:US
Practice Address - Phone:208-562-7106
Practice Address - Fax:208-562-7106
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PULSELINE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-20
Last Update Date:2025-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Single Specialty