Provider Demographics
NPI:1659764090
Name:LUMBER, TERRY A (RN, CNS)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:A
Last Name:LUMBER
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BATTLEFIELD BLVD N
Mailing Address - Street 2:LIFESTYLE CENTER
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4802
Mailing Address - Country:US
Mailing Address - Phone:757-312-5263
Mailing Address - Fax:757-312-6245
Practice Address - Street 1:800 BATTLEFIELD BLVD N
Practice Address - Street 2:LIFESTYLE CENTER
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4802
Practice Address - Country:US
Practice Address - Phone:757-312-5263
Practice Address - Fax:757-312-6245
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001074708163WD0400X
VA0015000729364SC2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No364SC2300XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistChronic Care