LISA THEOBALD, PMHNP
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1366136228
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 10006245 (OR) |
Frequently Asked Questions
NPI 1366136228 is the National Provider Identifier for LISA THEOBALD, PMHNP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Salem, OR. This NPI was enumerated on June 5, 2023.
LISA THEOBALD, PMHNP practices at 2264 MCGILCHRIST ST SE STE 100, Salem, OR 97302.
Quick Facts
- NPI
- 1366136228
- Type
- Individual
- Enumerated
- Jun 5, 2023
- Last Updated
- Mar 13, 2024
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