Provider Demographics
NPI:1144591520
Name:ACADEMY OF ALLIED NURSES LLC
Entity Type:Organization
Organization Name:ACADEMY OF ALLIED NURSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-980-5860
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:12203 ROUNDTABLE DRIVE
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-0334
Mailing Address - Country:US
Mailing Address - Phone:907-980-5860
Mailing Address - Fax:
Practice Address - Street 1:12203 ROUNDTABLE DRIVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-0334
Practice Address - Country:US
Practice Address - Phone:907-980-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care