1376715003 NPI number — INTEGRITY NURSING SERVICES UNLIMITTED, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376715003 NPI number — INTEGRITY NURSING SERVICES UNLIMITTED, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRITY NURSING SERVICES UNLIMITTED, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376715003
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3603 SETH CT # T2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGDALE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20774-5408
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-322-9111
Provider Business Mailing Address Fax Number:
301-780-3296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2921 BROWN STATION RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER MARLBORO
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20774-9268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-780-3521
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BYNUM
Authorized Official First Name:
MAMIE
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
PRESIDENT/FOUNDER
Authorized Official Telephone Number:
240-398-4152

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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