Provider Demographics
NPI:1245970938
Name:NEXUS CONSULTANTS PLLC
Entity type:Organization
Organization Name:NEXUS CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-285-8882
Mailing Address - Street 1:PO BOX 29650 (DEPT #880718)
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9650
Mailing Address - Country:US
Mailing Address - Phone:830-285-8882
Mailing Address - Fax:830-215-4711
Practice Address - Street 1:711 CAPITOL WAY S STE 204
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1267
Practice Address - Country:US
Practice Address - Phone:302-858-8828
Practice Address - Fax:830-215-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1962069203Medicaid