Healthcare Provider Details

I. General information

NPI: 1386526515
Provider Name (Legal Business Name): CNE MEDICAL STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 BOWERS RD STE G
FREDERICK MD
21702-3614
US

IV. Provider business mailing address

6910 BOWERS RD STE G
FREDERICK MD
21702-3614
US

V. Phone/Fax

Practice location:
  • Phone: 410-864-5693
  • Fax: 410-864-5693
Mailing address:
  • Phone: 410-864-5693
  • Fax: 410-864-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAWN NWACHUKWU
Title or Position: DIRECTOR
Credential: RN
Phone: 410-864-5693