Organization Name: | INTEGRATED CARE PROFESSIONALS, LLC |
NPI Number: | 1164762662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDY FORTNER (MANAGER) |
Mailing Address: | 8060 Counts Massie Rd Maumelle |
State: | AR US |
Postal Code: | 721136657 |
Phone Number: | 4799688279 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2013 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |