Provider Demographics
NPI:1366250805
Name:LEMUS, THERESA ANNE (DNP, RN, LADC)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:ANNE
Last Name:LEMUS
Suffix:
Gender:F
Credentials:DNP, RN, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 DARBY LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3211
Mailing Address - Country:US
Mailing Address - Phone:775-636-0281
Mailing Address - Fax:
Practice Address - Street 1:1200 E WINNEMUCCA BLVD
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-2937
Practice Address - Country:US
Practice Address - Phone:775-623-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00225101YA0400X
NVRN26624163WA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health