Individual provider · Type 1 NPI

Shini T. Theresia, NURSE PRACTITIONER

Nurse Practitioner · Dallas, TX

NPI number 1215646989 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75390-0006

Mailing address

PO Box 845347
Dallas, TX 75284-7208

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP145335 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215646989

Shini T. Theresia, NURSE PRACTITIONER's National Provider Identifier is 1215646989, issued on Nov 21, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 17, 2024.