Provider Demographics
NPI:1063427888
Name:NURSE CONNECTION, INC.
Entity type:Organization
Organization Name:NURSE CONNECTION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:I
Authorized Official - Last Name:WESTBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:863-386-5520
Mailing Address - Street 1:102 S RIDGEWOOD DR STE 7
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3300
Mailing Address - Country:US
Mailing Address - Phone:863-386-5520
Mailing Address - Fax:863-386-5501
Practice Address - Street 1:102 S RIDGEWOOD DR STE 7
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3300
Practice Address - Country:US
Practice Address - Phone:863-386-5520
Practice Address - Fax:863-386-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108245Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER