Provider Demographics
NPI:1144815374
Name:AMC A NURSING CORPORATION
Entity type:Organization
Organization Name:AMC A NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CYRUS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:559-436-0871
Mailing Address - Street 1:2558 W SAMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1749
Mailing Address - Country:US
Mailing Address - Phone:559-436-0871
Mailing Address - Fax:559-437-5656
Practice Address - Street 1:2558 W SAMPLE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-1749
Practice Address - Country:US
Practice Address - Phone:559-436-0871
Practice Address - Fax:559-437-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty