Individual provider · Type 1 NPI
Theresa Rae Lisenby, RN, CEO, INSTRUCTOR
Medical-Surgical Registered Nurse · Scurry, TX
NPI number
1073790358
Active
Practice location
7471 FM 3094
Scurry, TX 75158-4915
Fax (972) 452-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 572628 (TX) |
| Specialist | 174400000X | None listed |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | None listed |
| Recreation Therapist | 225800000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Medical-Surgical Registered Nurse: Definition to come...
Another provider at this address
About NPI 1073790358
Theresa Rae Lisenby, RN, CEO, INSTRUCTOR's National Provider Identifier is 1073790358, issued on Jan 29, 2008. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Scurry, TX. The record was last updated on Jan 29, 2008.