MRS. THERESA RAE LISENBY RNCEO INSTRUCTOR NPI 1073790358

NPI Information

NPI: 1073790358
Provider Name: MRS. THERESA RAE LISENBY, RN,CEO, INSTRUCTOR
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
7471 FM 3094
SCURRY, TX
ZIP 75158
Phone: (972) 452-3337
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MRS. Theresa Rae Lisenby, RN,CEO, INSTRUCTOR is a medical-surgical registered nurse in Scurry, TX. MRS. Theresa Rae Lisenby, RN,CEO, INSTRUCTOR NPI is 1073790358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7471 FM 3094
SCURRY, TX
ZIP 75158-915
Phone: (972) 452-3337
Fax: (972) 452-3331

The enumeration date for this NPI number is 1/29/2008 and was last updated on 1/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				No
2	225500000X	Specialist/Technologist				No
3	225800000X	Recreation Therapist				No
4	390200000X	Student in an Organized Health Care Education/Training Program				No
5	163WM0705X	Registered Nurse	Medical-Surgical	572628	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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