Provider Demographics
NPI:1144090606
Name:COMPASSIONATE CARE TELEHEALTH SERVICES PLLC
Entity type:Organization
Organization Name:COMPASSIONATE CARE TELEHEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:ADAIR NOLEN
Authorized Official - Last Name:VESTERLUND
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-C,
Authorized Official - Phone:434-941-2739
Mailing Address - Street 1:237 PATCHWORK DR
Mailing Address - Street 2:
Mailing Address - City:STEPHENSON
Mailing Address - State:VA
Mailing Address - Zip Code:22656-2067
Mailing Address - Country:US
Mailing Address - Phone:724-826-6748
Mailing Address - Fax:877-940-3601
Practice Address - Street 1:237 PATCHWORK DR
Practice Address - Street 2:
Practice Address - City:STEPHENSON
Practice Address - State:VA
Practice Address - Zip Code:22656-2067
Practice Address - Country:US
Practice Address - Phone:724-826-6748
Practice Address - Fax:877-940-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty