Provider Demographics
NPI:1194562058
Name:ADVANCED PRACTICE NP SERVICES, LLC
Entity type:Organization
Organization Name:ADVANCED PRACTICE NP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-449-0180
Mailing Address - Street 1:515 N WESTOVER BLVD STE C5
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2145
Mailing Address - Country:US
Mailing Address - Phone:229-449-0180
Mailing Address - Fax:229-639-1043
Practice Address - Street 1:515 N WESTOVER BLVD STE C5
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2145
Practice Address - Country:US
Practice Address - Phone:229-449-0180
Practice Address - Fax:229-639-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty