Provider Demographics
NPI:1104504380
Name:MAXNURSING
Entity type:Organization
Organization Name:MAXNURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARACELY
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDUZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-836-9652
Mailing Address - Street 1:556 S LESTER RD
Mailing Address - Street 2:
Mailing Address - City:OUTLOOK
Mailing Address - State:WA
Mailing Address - Zip Code:98938-9714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:556 S LESTER RD
Practice Address - Street 2:
Practice Address - City:OUTLOOK
Practice Address - State:WA
Practice Address - Zip Code:98938-9714
Practice Address - Country:US
Practice Address - Phone:509-836-9652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health