MS. LEE K CARLISLE APRN BC FNP NPI 1164423943

NPI Information

NPI: 1164423943
Provider Name: MS. LEE K CARLISLE, APRN, BC, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903
Phone: (325) 658-5339
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MS. Lee K Carlisle, APRN, BC, FNP is a family nurse practitioner in San Angelo, TX. MS. Lee K Carlisle, APRN, BC, FNP NPI is 1164423943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1610 S CHADBOURNE ST
SAN ANGELO, TX
ZIP 76903-510
Phone: (325) 658-5339
Fax: (325) 659-8524

The enumeration date for this NPI number is 8/3/2005 and was last updated on 8/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	553982	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00324R	MEDICARE ID-TYPE UNSPECIFIED
2	P01814	MEDICARE UPIN
3	111604802	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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