Lyons, Teresa Ann Brown

Lyons, Teresa Ann Brown is an individual health care provider with primary practice located at 815 2Nd Ave Ste 122 , Fairbanks AK 99701-4469. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lyons, Teresa Ann Brown can be contacted via phone (907) 374-0852.

Contact Information

Primary practice address
815 2Nd Ave Ste 122 Fairbanks AK 99701-4469
Phone: (907) 374-0852
Fax: (907) 374-0854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 9082 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1249 Alaska
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 765474 California

Profile Details

NPI number 1043524218
LBN Legal business name Lyons, Teresa Ann Brown
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated May 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043524218 NPPES
Alaska MEDICAID 1575076

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