Individual provider · Type 1 NPI
Lisa Victoria Blackwelder, RN
Pediatric Registered Nurse · Cedar Park, TX
NPI number
1386109528
Active
Practice location
924 Audra St
Cedar Park, TX 78613-7102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 593651 (TX) |
Pediatric Registered Nurse: Definition to come...
About NPI 1386109528
Lisa Victoria Blackwelder, RN's National Provider Identifier is 1386109528, issued on Feb 1, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Cedar Park, TX. The record was last updated on Feb 1, 2019.