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General NPI Number Information
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NPI Number | 1073220174
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE NURSE CONSULTING
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 23360 BRIDLE VIEW DR
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City | LINDALE
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State | TX
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Zip | 75771-5511
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Country | US
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Telephone | 928-951-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 137 ROE DEER CT
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City | LAS CRUCES
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State | NM
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Zip | 88007-5222
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Country | US
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Telephone | 575-993-2143
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KELI RENEE HESKETT
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Credential | MSN, RN, CEN
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Telephone | 575-993-2143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number |
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License Number State |
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