Provider Demographics
NPI:1073220174
Name:CRITICAL CARE NURSE CONSULTING
Entity Type:Organization
Organization Name:CRITICAL CARE NURSE CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELI
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HESKETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CEN
Authorized Official - Phone:575-993-2143
Mailing Address - Street 1:137 ROE DEER CT
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-5222
Mailing Address - Country:US
Mailing Address - Phone:575-993-2143
Mailing Address - Fax:
Practice Address - Street 1:137 ROE DEER CT
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-5222
Practice Address - Country:US
Practice Address - Phone:575-993-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN166995OtherCONSULTING SERVICES