Provider Demographics
NPI:1326687724
Name:NAN NURSING SERVICES LLC
Entity type:Organization
Organization Name:NAN NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CLINICAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:484-844-3440
Mailing Address - Street 1:4 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1846
Mailing Address - Country:US
Mailing Address - Phone:484-844-3440
Mailing Address - Fax:215-441-5080
Practice Address - Street 1:4 COBBLESTONE DR
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1846
Practice Address - Country:US
Practice Address - Phone:484-844-3440
Practice Address - Fax:215-441-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health