Adrienne Rias

Individual provider Active NPI Licensed Vocational Nurse · Lott, TX

NPI 1982186888 · NPPES record last updated Sep 6, 2018

Key facts

NPI
1982186888
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
115573 (TX)
Practice address
508 S 2ND St
Lott, TX 76656-4083
Phone
(254) 422-0561
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
115573TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 115573 TX Yes

Addresses

Primary practice location

508 S 2ND St
Lott, TX 76656-4083

Mailing address

508 S 2ND St
Lott, TX 76656-4083
Phone (254) 422-0561

Other providers in Lott, TX

All providers in Lott, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.