Provider Demographics
NPI:1831850767
Name:NURSE ANGELS HEALTHCARE
Entity type:Organization
Organization Name:NURSE ANGELS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-759-1629
Mailing Address - Street 1:35 WILDCAT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7185
Mailing Address - Country:US
Mailing Address - Phone:443-759-1629
Mailing Address - Fax:
Practice Address - Street 1:35 WILDCAT CREEK DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-7185
Practice Address - Country:US
Practice Address - Phone:443-759-1629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty