Provider Demographics
NPI:1972931103
Name:TRAVELING NURSES LLC
Entity type:Organization
Organization Name:TRAVELING NURSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAQUITHA
Authorized Official - Middle Name:SHANTELL
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-374-8199
Mailing Address - Street 1:539 UPLAND ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-6914
Mailing Address - Country:US
Mailing Address - Phone:484-374-8199
Mailing Address - Fax:
Practice Address - Street 1:539 UPLAND ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5194
Practice Address - Country:US
Practice Address - Phone:484-374-8199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21973601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health