Organization
CRITICAL CARE NURSE CONSULTANTS
Active
Other names
GuardDog Telehealth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELI R HESKETT RN (CEO)
(928) 951-2055
Entity
Organization
Contact information
Practice address
23360 BRIDLE VIEW DR, LINDALE, TX 75771-5511
(575) 443-2143
Mailing address
23360 BRIDLE VIEW DR, LINDALE, TX 75771-5511
(575) 993-2143
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114636115
—
UT
05
—
1508583824
—
NM
Enumeration date
08/28/2024
Last updated
08/28/2024
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