Provider Demographics
NPI:1427733518
Name:TELEMED NIGHTINGALES LLC
Entity type:Organization
Organization Name:TELEMED NIGHTINGALES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-398-0806
Mailing Address - Street 1:2202 FREEDOM RD
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-1212
Mailing Address - Country:US
Mailing Address - Phone:719-398-0806
Mailing Address - Fax:719-578-4066
Practice Address - Street 1:2202 FREEDOM RD
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-1212
Practice Address - Country:US
Practice Address - Phone:719-398-0806
Practice Address - Fax:719-578-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care