Provider Demographics
NPI:1215790506
Name:TELE-A-NURSE
Entity type:Organization
Organization Name:TELE-A-NURSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:REYNOLDS-BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-954-6238
Mailing Address - Street 1:15502 STONEYBROOK WEST PKWY STE 104-419
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4767
Mailing Address - Country:US
Mailing Address - Phone:407-470-6480
Mailing Address - Fax:
Practice Address - Street 1:13873 PEACH ORCHARD WAY
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5655
Practice Address - Country:US
Practice Address - Phone:407-470-6480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty