Provider Demographics
NPI:1609190321
Name:ADVANCE NURSE PRACTITIONERS LLC
Entity Type:Organization
Organization Name:ADVANCE NURSE PRACTITIONERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:A. NASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-243-8222
Mailing Address - Street 1:18660 BAGLEY RD
Mailing Address - Street 2:SUITE 405 PHASE II
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3483
Mailing Address - Country:US
Mailing Address - Phone:440-243-8222
Mailing Address - Fax:440-243-3351
Practice Address - Street 1:18660 BAGLEY RD
Practice Address - Street 2:SUITE 405 PHASE II
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3483
Practice Address - Country:US
Practice Address - Phone:440-243-8222
Practice Address - Fax:440-243-3351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty