Provider Demographics
NPI:1023337060
Name:COMPASSIONATE NURSES NETWORK LLC
Entity type:Organization
Organization Name:COMPASSIONATE NURSES NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAUNDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCKISSIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-388-7382
Mailing Address - Street 1:1419 PENN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3049
Mailing Address - Country:US
Mailing Address - Phone:612-388-7382
Mailing Address - Fax:
Practice Address - Street 1:1419 PENN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3049
Practice Address - Country:US
Practice Address - Phone:612-388-7382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health