Provider Demographics
NPI:1528311396
Name:RANDSTAD PROFESSIONAL US, LP
Entity type:Organization
Organization Name:RANDSTAD PROFESSIONAL US, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNYBEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:800-919-9100
Mailing Address - Street 1:150 PRESIDENTIAL WAY
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1100
Mailing Address - Country:US
Mailing Address - Phone:800-919-9100
Mailing Address - Fax:781-213-3696
Practice Address - Street 1:150 PRESIDENTIAL WAY
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1100
Practice Address - Country:US
Practice Address - Phone:800-919-9100
Practice Address - Fax:781-213-3696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0812008251J00000X
FL1560251J00000X
ILN0596251J00000X
DCNSA-0028251J00000X
MNSNSA24295251J00000X
NCNP1493251J00000X
NJHP0075100251J00000X
RINPA00095251J00000X
WANPOL.NR.00000342251J00000X
MATOFF251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care