Provider Demographics
NPI:1437903465
Name:CRITICAL CARE NURSE CONSULTANTS
Entity Type:Organization
Organization Name:CRITICAL CARE NURSE CONSULTANTS
Other - Org Name:CRITICAL CARE NURSE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE ADVOCATE
Authorized Official - Prefix:
Authorized Official - First Name:KELI
Authorized Official - Middle Name:R
Authorized Official - Last Name:HESKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:928-951-2055
Mailing Address - Street 1:23360 BRIDLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-5511
Mailing Address - Country:US
Mailing Address - Phone:928-951-2055
Mailing Address - Fax:
Practice Address - Street 1:23360 BRIDLE VIEW DR
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-5511
Practice Address - Country:US
Practice Address - Phone:928-951-2055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty
No251V00000XAgenciesVoluntary or Charitable