Lisa Vandiemen is one of 195 nurse practitioners practicing in Longview, Texas .
Lisa Vandiemen practices with Special Health Resources For Texas, Incorporated.
Registry record (NPPES)
NPI
1396041885
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
615 Clinic Dr
Enumerated
Feb 1, 2011
Record last updated
May 2, 2024
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
409 N 6th StLongview , TX 75601
More nurse practitioners in Longview
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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