Organization
MOBILE NURSE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL DAWSON (PRESIDENT)
(724) 620-2848
Entity
Organization
Contact information
Practice address
205 DEERFIELD DR, CONNELLSVILLE, PA 15425-1984
(724) 620-2848
(724) 620-2951
Mailing address
205 DEERFIELD DR, CONNELLSVILLE, PA 15425-1984
(724) 620-2848
(724) 620-2951
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1736072
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
02/13/2006
Last updated
08/22/2020
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