Provider Demographics
NPI:1306207147
Name:MAP NURSING AND HEALTHCARE CONSULTANTS
Entity Type:Organization
Organization Name:MAP NURSING AND HEALTHCARE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER 9
Authorized Official - Prefix:
Authorized Official - First Name:DESHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCANDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:937-829-0195
Mailing Address - Street 1:4927 MAGELLAN AVE
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-1483
Mailing Address - Country:US
Mailing Address - Phone:937-829-0195
Mailing Address - Fax:937-854-0121
Practice Address - Street 1:4927 MAGELLAN AVE
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-1483
Practice Address - Country:US
Practice Address - Phone:937-829-0195
Practice Address - Fax:937-854-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 10335 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty