Individual provider · Type 1 NPI
Lisa Dawn Theobald, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Salem, OR
NPI number
1366136228
Active
Practice location
2264 Mcgilchrist St SE Ste 100
Salem, OR 97302-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10006245 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1366136228
Lisa Dawn Theobald, PMHNP's National Provider Identifier is 1366136228, issued on Jun 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, OR. The record was last updated on Mar 13, 2024.