Provider Demographics
NPI:1699223461
Name:WORLD CHANGING NURSES
Entity Type:Organization
Organization Name:WORLD CHANGING NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROCK
Authorized Official - Suffix:
Authorized Official - Credentials:ANPC
Authorized Official - Phone:317-694-7422
Mailing Address - Street 1:1030 S MITCHNER AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-1160
Mailing Address - Country:US
Mailing Address - Phone:317-694-7422
Mailing Address - Fax:317-351-0540
Practice Address - Street 1:1030 S MITCHNER AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-1160
Practice Address - Country:US
Practice Address - Phone:317-694-7422
Practice Address - Fax:317-351-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable