Provider Demographics
NPI:1558837724
Name:NURSING MOVING FORWARD LLC
Entity Type:Organization
Organization Name:NURSING MOVING FORWARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CONNERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-757-9024
Mailing Address - Street 1:1531 WASHINGTON AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1818
Mailing Address - Country:US
Mailing Address - Phone:314-757-9024
Mailing Address - Fax:
Practice Address - Street 1:1531 WASHINGTON AVE APT 3C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1818
Practice Address - Country:US
Practice Address - Phone:314-757-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty