Provider Demographics
NPI:1598572349
Name:ADVANCED NURSING HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ADVANCED NURSING HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MUNOZ DE HENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, BSN, RN
Authorized Official - Phone:816-602-8741
Mailing Address - Street 1:19156 HAMLIN STREET
Mailing Address - Street 2:UNIT 2
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14649 VICTORY BLVD.
Practice Address - Street 2:SUITE 20
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:818-786-9386
Practice Address - Fax:818-901-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty