Individual provider · Type 1 NPI
Teresita Manigbas Idea, RN
Nurse Practitioner · Dallas, TX
Practice location
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Fax (972) 715-9976
Mailing address
PO Box 840853
Dallas, TX 75284-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP143989 (TX) |
| Ambulatory Care Registered Nurse | 163WP2201X | 453710 (TX) |
| Nurse Practitioner Primary | 363L00000X | AP143989 (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 1952944654
Teresita Manigbas Idea, RN's National Provider Identifier is 1952944654, issued on Oct 25, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 18, 2022.