Provider Demographics
NPI:1992139067
Name:NURSES ADVANTAGE INC
Entity type:Organization
Organization Name:NURSES ADVANTAGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KINNEY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:AJIBOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-417-2368
Mailing Address - Street 1:14411 SECRETARIAT DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1288
Mailing Address - Country:US
Mailing Address - Phone:240-417-2368
Mailing Address - Fax:240-554-1456
Practice Address - Street 1:14411 SECRETARIAT DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1288
Practice Address - Country:US
Practice Address - Phone:240-417-2368
Practice Address - Fax:240-554-1456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1303001251J00000X
MD130301251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care