Doctor Name: | LISA KAREN TINCHER |
NPI Number: | 1063497915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 71000888A |
Business Practice Address: | 620 8th Ave Terre Haute, IN - 478042744 |
Business Phone Number: | 8122318377 |
Business Fax Number: | 8122313718 |
Mailing Address: | Po Box 4323, TERRE HAUTE |
State: | IN |
Postal Code: | 478040323 |
Phone Number: | 8122318323 |
Fax Number: | 8122318400 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 07/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71000888A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |