LISA TEDROW NPI 1265248694

NPI Information

  • NPI: 1265248694
  • Provider Name: LISA TEDROW
  • Classification: Registered Nurse - 163WM0102X
  • Specialization: Maternal Newborn
  • Entity Type: Individual
  • Address: 303 E KEARSLEY ST
    FLINT, MI
    ZIP 48502
  • Phone: (810) 762-6420

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NPI Details

Lisa Tedrow is a maternal newborn registered nurse in Flint, MI. Lisa Tedrow NPI is 1265248694. 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:

303 E KEARSLEY ST
FLINT, MI
ZIP 48502-907
Phone: (810) 762-6420

The enumeration date for this NPI number is 12/10/2024 and was last updated on 12/10/2024.

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
1163WM0102XRegistered NurseMaternal Newborn4704201403MICHIGANYes

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: 11/21/2025

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