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
  • Specialization: Medical-Surgical
  • Entity Type: Individual
  • Address: 7471 FM 3094
    SCURRY, TX
    ZIP 75158
  • Phone: (972) 452-3337

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NPI Details

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
1174400000XSpecialistNo
2225500000XSpecialist/TechnologistNo
3225800000XRecreation TherapistNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5163WM0705XRegistered NurseMedical-Surgical572628TEXASYes

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: 3/30/2025

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