Provider Demographics
NPI:1366222473
Name:NURSE PRO LLC
Entity type:Organization
Organization Name:NURSE PRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCPHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN
Authorized Official - Phone:773-844-3346
Mailing Address - Street 1:13293 DARNELL AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33981-6125
Mailing Address - Country:US
Mailing Address - Phone:773-844-3346
Mailing Address - Fax:
Practice Address - Street 1:13293 DARNELL AVE
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33981-6125
Practice Address - Country:US
Practice Address - Phone:773-844-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251J00000XAgenciesNursing Care