Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 522543 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 522543 | TX |
NPI | 1538318969 |
---|---|
Provider Name | Nancy Seman Lough |
First Address | New Braunfels, TX 78131-0682 |
Second Address | New Braunfels, TX 78130-3464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 14/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203061101 | (05) | TX |