Provider Demographics
NPI:1689226334
Name:AMERICAN NURSING SUPPLY LLC
Entity Type:Organization
Organization Name:AMERICAN NURSING SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-429-1502
Mailing Address - Street 1:4427 NEWCASTLE CV
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-4097
Mailing Address - Country:US
Mailing Address - Phone:440-429-1502
Mailing Address - Fax:
Practice Address - Street 1:4427 NEWCASTLE CV
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-4097
Practice Address - Country:US
Practice Address - Phone:440-429-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies