Provider Demographics
NPI:1962652347
Name:PROFESSIONAL NURSING CONSULTANT SERVICES INC.
Entity Type:Organization
Organization Name:PROFESSIONAL NURSING CONSULTANT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:702-279-5641
Mailing Address - Street 1:8778 S. MARYLAND PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-6705
Mailing Address - Country:US
Mailing Address - Phone:702-218-6425
Mailing Address - Fax:800-233-7048
Practice Address - Street 1:8778 S. MARYLAND PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6705
Practice Address - Country:US
Practice Address - Phone:702-218-6425
Practice Address - Fax:800-233-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN26555251J00000X
NVRN31167251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care