Provider Demographics
NPI:1306884804
Name:ADULT HEALTH NURSE PRACTITIONER HOUSE CALL SERVICES, PLLC
Entity type:Organization
Organization Name:ADULT HEALTH NURSE PRACTITIONER HOUSE CALL SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:TARRANT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:718-274-0129
Mailing Address - Street 1:52 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1912
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:52 MEADOW ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1912
Practice Address - Country:US
Practice Address - Phone:718-274-0129
Practice Address - Fax:212-994-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303365363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty