Healthcare Provider Details

I. General information

NPI: 1912838731
Provider Name (Legal Business Name): CREDIBLE NURSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 5TH AVE
QUANTICO VA
22134-3422
US

IV. Provider business mailing address

2071 TWIN SIX LN
DUMFRIES VA
22026-3009
US

V. Phone/Fax

Practice location:
  • Phone: 703-678-6716
  • Fax:
Mailing address:
  • Phone: 703-678-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NKEMAKONAM V NNAMANI-ENEH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: NNAMANI-ENEH
Phone: 703-678-6716