PROFESSIONAL EDGE NURSING, INC


Address: 600 Mary Lane, Anniston, AL 36207
Phone: 8154994354

PROFESSIONAL EDGE NURSING, INC (NPI# 1639785546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639785546
Entity Type Organization
Organization Name PROFESSIONAL EDGE NURSING, INC
Practice Address 600 Mary Lane
Anniston
AL 36207
Practice Telephone 8154994354
Mailing Telephone 8154994354
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Authorized Official Name BRENDA KAY VANNATTA (CEO)
Authorized Official Telephone 8154994354
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations PROFESSIONAL EDGE NURSING, INC. 80 State Street, Albany, New York 12207-2543
Iowa Business Entities PROFESSIONAL EDGE NURSING, INC. 600 Mary Lane, Anniston, AL 36207
Washington State Corporations PROFESSIONAL EDGE NURSING, INC. 600 Mary Ln, Anniston, AL 36207-6354
Colorado Business Entities Professional Edge Nursing, Inc. 600 Mary Lane, Anniston, AL 36207

Office Location

Street Address 600 MARY LANE
City ANNISTON
State AL
Zip Code 36207

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285285064 Savannah Taylor Speech-Language Pathologist 3331 Henry Road, Anniston, AL 36207 2019-09-24
1407359607 Alabama Family Optometry One Hour Optical Optometrist 1900 Golden Springs Road, Anniston, AL 36207 2018-03-14
1598272593 Elienna Unique Minnefield Home Health Aide 1400 Commerce Blvd., Suite 3, Anniston, AL 36207 2017-12-29
1508385154 Tycoma Miller Social Worker 1332 Johnston Drive, Anniston, AL 36207 2017-09-14
1013439496 Karri Anne Humphries Behavioral Analyst 217 Easy Street, Anniston, AL 36207 2017-07-07
1881136356 Lance Mcconnell Specialist/Technologist 2111 Hwy78e Suite 2, Anniston, AL 36207 2016-11-15
1881053262 Titilayo Adeoye-aremu Pharmacist 400 E 10th Street 4th Floor, Noland Health Services, Anniston, AL 36207 2016-02-15
1760840862 Keyanna Peters Counselor 1525 Leighton Ave Ste B, Anniston, AL 36207 2016-02-03
1356517916 Physicians Choice Dialysis of Calhoun County LLC Clinic/Center 901 Keith Avenue, Anniston, AL 36207 2008-05-05
1770764201 Ataur Rehman Internal Medicine 901 Leighton Ave Ste 704, Anniston, AL 36207 2007-11-27
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104432152 Christopher Allen Jones Military Health Care Provider 14019 Firehouse Rd, Northport, AL 35475-3408 2020-09-16
1225265788 Patricia Lynne Walters Military Health Care Provider Us Army Aeromedical Research Laboratory, Fort Rucker, Enterprise, AL 36362-0577 2009-06-11
1033360565 Tejay Wayne Barton Military Health Care Provider 101 South Broad St., Mobile, AL 36615 2008-10-02
1306005087 Sundra Renee Johnson Military Health Care Provider 1414 26th St, 1414 26th Street, Tuscaloosa, AL 35401-6642 2008-06-06
1992981922 Doris Lou Hill Military Health Care Provider 1633 Academy Dr, #1405, Auburn, AL 36830-1893 2008-01-22
1497848063 Douglass Vance Military Health Care Provider 264 Belle Dr, Scottsboro, AL 35769-3652 2006-10-02
1144294042 Michael Bernard Madkins Military Health Care Provider 4100 Goss Road, Primary Care Clinic Fox Army Health Center, Redstone Arsenal, AL 35809-7000 2006-02-15
1114292885 Britiney Ann Cawthron Military Health Care Provider 301 Andrews Ave, Fort Rucker, AL 36362-0000 2012-03-14
1649431537 Kristopher Charles Wilson Military Health Care Provider 301 Andrews Avenue, Fort Rucker, AL 36362-5333 2008-06-23
1710171673 Grace Marie Lidl Military Health Care Provider 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2007-09-04
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Competitor

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City ANNISTON
Zip Code 36207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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