Provider Demographics
NPI:1013394147
Name:THE A&N EXECUTIVE GROUP LLC
Entity Type:Organization
Organization Name:THE A&N EXECUTIVE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:UZOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-793-9353
Mailing Address - Street 1:15712 DORSET RD
Mailing Address - Street 2:UNIT T2
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5349
Mailing Address - Country:US
Mailing Address - Phone:301-793-9353
Mailing Address - Fax:
Practice Address - Street 1:15712 DORSET RD
Practice Address - Street 2:UNIT T2
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5349
Practice Address - Country:US
Practice Address - Phone:301-793-9353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347E00000XTransportation ServicesTransportation Broker