Doctor Name: | TERESA LUISA |
NPI Number: | 1902138316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 54832 |
Business Practice Address: | 1408 E Franklin St Monroe, NC - 281125160 |
Business Phone Number: | 7042836040 |
Business Fax Number: | 7042836014 |
Mailing Address: | 284 Executive Park Dr, Suite 100 CONCORD |
State: | NC |
Postal Code: | 280251831 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/10/2010 |
NPI Last Update Date: | 02/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 54832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |