Provider Demographics
NPI:1942074901
Name:APN CARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:APN CARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, FPA
Authorized Official - Phone:815-719-0286
Mailing Address - Street 1:11538 CENTURY CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-7101
Mailing Address - Country:US
Mailing Address - Phone:815-719-0286
Mailing Address - Fax:
Practice Address - Street 1:11538 CENTURY CIR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-7101
Practice Address - Country:US
Practice Address - Phone:815-719-0286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1235665076Medicaid
IL1801341136Medicaid