Provider Demographics
NPI:1770110736
Name:AWS SERVICES AND NURSING INC.
Entity type:Organization
Organization Name:AWS SERVICES AND NURSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:310-629-3590
Mailing Address - Street 1:335 E ALBERTONI ST # 200-221
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-1425
Mailing Address - Country:US
Mailing Address - Phone:310-629-3590
Mailing Address - Fax:877-338-3553
Practice Address - Street 1:1123 E DOMINGUEZ ST STE A
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3583
Practice Address - Country:US
Practice Address - Phone:310-629-3590
Practice Address - Fax:877-338-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty