Doctor Name: | MS. TERESA ANN BROWN LYONS |
NPI Number: | 1043524218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 9082 |
Business Practice Address: | 407 5th Ave Fairbanks, AK - 997014715 |
Business Phone Number: | 9077508114 |
Business Fax Number: | |
Mailing Address: | Po Box 477, ESTER |
State: | AK |
Postal Code: | 997250477 |
Phone Number: | 9074601868 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2010 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0807X |
License Number: | 9082 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |