Lisa Kneedler
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
1301 Pennsylvania Ave
Ft Worth
, Texas 76104-2122
Lisa Kneedler
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
1301 Pennsylvania Ave
Ft Worth
, Texas 76104-2122
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About
Features
Specialties
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Lisa Kneedler
- 204 Stanford Ct
- Heath, TX
- Zip : 75032-6614
- Phone :
Second Address
- Lisa Kneedler
- 1301 Pennsylvania Ave
- Ft Worth, TX
- Zip : 76104-2122
- Phone : (817) 250-2892
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 680269 | TX |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 680269 | TX |
National Provider Identifier
| NPI | 1063578003 |
|---|---|
| Provider Name | Lisa Kneedler |
| First Address | Heath, TX 75032-6614 |
| Second Address | Ft Worth, TX 76104-2122 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 27/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.