Healthcare Provider Details

I. General information

NPI: 1598572349
Provider Name (Legal Business Name): ADVANCED NURSING HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 12/16/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14649 VICTORY BLVD. SUITE 20
VAN NUYS CA
91411
US

IV. Provider business mailing address

19156 HAMLIN STREET UNIT 2
RESEDA CA
91335
US

V. Phone/Fax

Practice location:
  • Phone: 818-786-9386
  • Fax: 818-901-7128
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY ELIZABETH MUNOZ DE HENRIQUEZ
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential: FNP-C, BSN, RN
Phone: 816-602-8741