Individual provider · Type 1 NPI
Renee Mieselle Lies, APRN
Adult Health Nurse Practitioner · Dallas, TX
NPI number
1669083077
Active
Practice location
2602 Mckinney Ave Ste 115
Dallas, TX 75204-0727
Mailing address
4310 Deere St
Dallas, TX 75204-3608
Other practice locations
- 7777 Forest Ln, Dallas, TX 75230-2571 · (972) 566-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP145584 (TX) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP145584 (TX) |
| Nurse Practitioner | 363L00000X | AP145584 (TX) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1669083077
Renee Mieselle Lies, APRN's National Provider Identifier is 1669083077, issued on Aug 11, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dallas, TX. The record was last updated on Nov 10, 2021.