Stella A. Lisk in Fort Worth - Family

Stella A. Lisk - NPI 1831145499

Stella A. Lisk is a Family in Fort Worth, Texas. Stella A. Lisk practices all healthcare services and medical treatments related to Family. The NPI Number for Stella A. Lisk is 1831145499. The last update date is 2022-06-17.

Stella A. Lisk's current location address is 10840 Texas Health Trl Ste 260, Fort Worth, Texas. You can contact this provider via phone number 6822125440. The mailing address for Stella A. Lisk is 10840 Texas Health Trl Ste 260, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stella A. Lisk
Address 10840 Texas Health Trl Ste 260, Fort Worth, Texas
Phone Number 6822125440
Fax Number
Sole Proprietor N
Credentials RN, BC, FN

NPI Number Detail

NPI Number 1831145499
Provider Enumeration Date 2006-05-25
Last Updated Date 2022-06-17

Provider Mailing Address Detail

Address 10840 Texas Health Trl Ste 260
City Fort Worth
State Texas (TX)
Post Code 762446850
Phone Number 6822125440
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No AP125946
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200307860A KS --
P00836125 MO RAILROAD MEDICARE
428788103 MO --

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FAQs about Stella A. Lisk

What is the unique 10-digit identification code assigned to Stella A. Lisk by the Centers for Medicare & Medicaid Services?

The Stella A. Lisk has been issued the NPI (National Provider Identifier) 1831145499, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Stella A. Lisk located?

The Stella A. Lisk is located at 10840 Texas Health Trl Ste 260, Fort Worth, TX 762446850.

What is the Stella A. Lisk's specialty and taxonomy code?

The Stella A. Lisk's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Stella A. Lisk receive its 1831145499 assignment from the Centers for Medicare & Medicaid Services?

The Stella A. Lisk was assigned its 1831145499 by the Centers for Medicare & Medicaid Services on 2006-05-25.

When was the information pertaining to Stella A. Lisk most recently updated or revised?

The details related to Stella A. Lisk, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-17.

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