Provider Demographics
NPI:1730769159
Name:NIGHTINGALE NURSING PLLC
Entity type:Organization
Organization Name:NIGHTINGALE NURSING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-893-9801
Mailing Address - Street 1:4204 RIFLE DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-7511
Mailing Address - Country:US
Mailing Address - Phone:248-893-9801
Mailing Address - Fax:
Practice Address - Street 1:4204 RIFLE DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-7511
Practice Address - Country:US
Practice Address - Phone:248-893-9801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty