Provider Demographics
NPI:1902319726
Name:A SUPERIOR NURSE REGISTRY LLC
Entity Type:Organization
Organization Name:A SUPERIOR NURSE REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKUFU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-678-6994
Mailing Address - Street 1:1320 SE FEDERAL HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3409
Mailing Address - Country:US
Mailing Address - Phone:772-678-6994
Mailing Address - Fax:877-581-9583
Practice Address - Street 1:1320 SE FEDERAL HWY STE 108
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3409
Practice Address - Country:US
Practice Address - Phone:772-678-6994
Practice Address - Fax:877-581-9583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care