Provider Demographics
NPI:1902161425
Name:NURSE ENTEPRISE
Entity type:Organization
Organization Name:NURSE ENTEPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:VERENI
Authorized Official - Last Name:MOREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-420-9096
Mailing Address - Street 1:5101 WISCONSIN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4120
Mailing Address - Country:US
Mailing Address - Phone:202-526-2400
Mailing Address - Fax:202-832-0203
Practice Address - Street 1:5101 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4120
Practice Address - Country:US
Practice Address - Phone:202-526-2400
Practice Address - Fax:202-832-0203
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NURSE ENTERPRISE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care