Individual
LISA L TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP
Contact information
Practice address
4803 BOARDWALK DR STE 120, FORT COLLINS, CO 80525-3798
(970) 310-3406
(888) 965-4615
Mailing address
4803 BOARDWALK DR STE 120, FORT COLLINS, CO 80525-3798
(414) 324-5278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5156
WI
363LF0000X
Family Nurse Practitioner
C-APN.0003731-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-RXN.0001927-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38220400
PROVIDER NUMBER
WI
Enumeration date
03/15/2006
Last updated
11/17/2022
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