MEDICARE: REGISTERED NURSE PRACTITIONER CONSULTANT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	2028894365	CA

General Provider Information

NPI Number	:	1619956745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGISTERED NURSE PRACTITIONER CONSULTANT SERVICES

Provider Business Mailing Address
First Line	:	8550 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3103
Country	:	US
Telephone Number	:	323-556-0644
Fax Number	:	866-339-5548

Provider Business Practice Location Address
First Line	:	8550 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3103
Country	:	US
Telephone Number	:	323-556-0644
Fax Number	:	866-339-5548

Authorized Official
Title or Position	:	CO OWNER
Name	:	MS. ELSIE RUTH RAINEY
Credential	:
Telephone Number	:	323-556-0644

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	08/22/2020

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