Provider Demographics
NPI:1730552563
Name:MEDICAL NURSING SPECIALTIES
Entity type:Organization
Organization Name:MEDICAL NURSING SPECIALTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:888-457-7322
Mailing Address - Street 1:391 PASEO DE GRACIA
Mailing Address - Street 2:6
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-6109
Mailing Address - Country:US
Mailing Address - Phone:888-457-7322
Mailing Address - Fax:888-457-7322
Practice Address - Street 1:391 PASEO DE GRACIA
Practice Address - Street 2:6
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-6109
Practice Address - Country:US
Practice Address - Phone:888-457-7322
Practice Address - Fax:888-457-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty