Provider Demographics
NPI:1619195260
Name:PENNSYLVANIA AGENCY OF NURSES
Entity Type:Organization
Organization Name:PENNSYLVANIA AGENCY OF NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MHA
Authorized Official - Phone:610-359-1649
Mailing Address - Street 1:15 SAINT ALBANS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:610-359-1649
Mailing Address - Fax:610-359-1646
Practice Address - Street 1:15 SAINT ALBANS CIRCLE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-359-1649
Practice Address - Fax:610-359-1646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health