Organization · Type 2 NPI
East Lake Medical, PLLC
Nurse Practitioner · Tyler, TX
Practice location
11980 State Highway 64 E Ste G
Tyler, TX 75707-2541
Fax (903) 650-8576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
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…
Another provider at this address
Other nurse practitioner providers in Tyler
About NPI 1497494777
East Lake Medical, PLLC's National Provider Identifier is 1497494777, issued on Jun 3, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Jun 3, 2022.