Provider Demographics
NPI:1114104122
Name:CLEAR BLUE SKY CONSULTING INCORPORATED
Entity Type:Organization
Organization Name:CLEAR BLUE SKY CONSULTING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:563-690-0878
Mailing Address - Street 1:6790 OLDE DAVENPORT RD
Mailing Address - Street 2:
Mailing Address - City:LA MOTTE
Mailing Address - State:IA
Mailing Address - Zip Code:52054-9525
Mailing Address - Country:US
Mailing Address - Phone:563-690-0878
Mailing Address - Fax:
Practice Address - Street 1:6790 OLDE DAVENPORT RD
Practice Address - Street 2:
Practice Address - City:LA MOTTE
Practice Address - State:IA
Practice Address - Zip Code:52054-9525
Practice Address - Country:US
Practice Address - Phone:563-690-0878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA090942251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care